It's very upsetting; Sore under her tongue; pain in her head and ear; goes from her teeth to her head to her ear on the right; pain in her head and ear; goes from her teeth to her head to her ear on the right; swelling on her right side of her mandible; pain in upper and lower teeth on right side/Part of her teeth on the upper and lower right side were in a lot of pain; a lot of pain; pain in my arm; pain in left arm where she got the vaccine; because she couldn't open her mouth until Sunday afternoon, 22Jan2023; Fatigue; She has blisters under her tongue; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 62-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 20Jan2023 at 10:00 as dose 4 (booster), 0.3 ml single (Lot number: GF9702) at the age of 62 years, in left arm for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: BNT162b2 (Dose 1, Lot: EL8982, Expiry: May2021), administration date: 01Mar2021, when the patient was 61-year-old, for COVID-19 immunization, reaction(s): "her arm was very painful", "fatigue", "swollen lymph nodes on the left side", "''I have had the nodules inflamed but on the left side, where they gave me the vaccine"; BNT162b2 (Dose 2, Lot: EN6204, Expiry: Jun2021), administration date: 23Mar2021, when the patient was 61-year-old, for COVID-19 immunization, reaction(s): "fatigue", "she had normal pain", "nodules inflamed but on the left side", "she had swollen lymph nodes on the left side where she was administered the vaccine"; BNT162b2 (Dose 3, Lot: FF2593, Expiry: Unknown), administration date: 12Nov2021, when the patient was 61-year-old, for COVID-19 immunization, reaction(s): "she had swollen lymph nodes on the left side where she was administered the vaccines", "fatigue", "nodules inflamed but on the left side", "had strep 2 times in Nov2022".  The following information was reported: FATIGUE (non-serious) with onset Jan2023, outcome "unknown"; TONGUE BLISTERING (non-serious) with onset Jan2023, outcome "unknown", described as "She has blisters under her tongue"; ORAL DISCOMFORT (non-serious) with onset 20Jan2023, outcome "recovered" (22Jan2023), described as "because she couldn't open her mouth until Sunday afternoon, 22Jan2023"; VACCINATION SITE PAIN (non-serious) with onset 20Jan2023, outcome "recovering", described as "pain in left arm where she got the vaccine"; PAIN IN EXTREMITY (non-serious) with onset 20Jan2023 at 19:00, outcome "recovering", described as "pain in my arm"; PAIN (non-serious) with onset 20Jan2023 at 21:00, outcome "unknown", described as "a lot of pain"; TOOTHACHE (non-serious) with onset 20Jan2023 at 21:00, outcome "recovering", described as "pain in upper and lower teeth on right side/Part of her teeth on the upper and lower right side were in a lot of pain"; BONE SWELLING (non-serious) with onset 20Jan2023 at 21:00, outcome "recovering", described as "swelling on her right side of her mandible"; GLOSSODYNIA (non-serious) with onset 22Jan2023, outcome "recovering", described as "Sore under her tongue"; EAR PAIN (non-serious) with onset 22Jan2023, outcome "unknown", HEADACHE (non-serious) with onset 22Jan2023, outcome "recovering" and all described as "pain in her head and ear; goes from her teeth to her head to her ear on the right"; DEPRESSED MOOD (non-serious), outcome "unknown", described as "It's very upsetting". Therapeutic measures were taken as a result of vaccination site pain, bone swelling, toothache, glossodynia, tongue blistering, ear pain, headache, pain in extremity, pain, oral discomfort.  Additional information: Caller stated that she received the vaccine on Friday at 10am at the pharmacy. At 19:00, she experienced pain in her arm. At 21:00, she began swelling on her right side of her mandible; the nodules of her mandible on the right side is where the swelling was. Part of her teeth on the upper and lower right side were in a lot of pain. She has blisters under her tongue only on the right side. She is taking Advil 4 times a day, because she was in a lot of pain. Today is the 4th day of the side effects.  This is her 4th dose of the vaccine. She received the primary dose series, a booster, and now the bivalent booster. With the 3 prior vaccines she had swollen lymph nodes on the left side where she was administered the vaccines. Right now she is on pain medication because she has pain going from her ear all the way to her brain, that is very painful; agent doesn't know if she was referring to the Advil or another medication. Her teeth pain is terrible; it was all the teeth of the upper and lower side. Caller Stated that she read about the Bivalent vaccine, and because she just had strep 2 times, in Nov2022 and beginning of Jan2023, she decided she wanted another booster. She was on amoxicillin the first time she got Strep, and on penicillin the 2nd time she got Strep. Pain in left arm- Had pain where she got the vaccine. She put some ice on her arm. Saturday, 21Jan2023, she had some pain but not too much. That afternoon it went away, but now she has pain only if she touches it. She didn't take anything for the pain that night, only took something for sleep, and when she woke up the pain was improved. Pain in teeth started on Friday, 20Jan2023 at 9pm. The next morning she couldn't brush her teeth because it was very painful. At noon she took an Advil, and she has been taking it since then because after 4 hours she has to take it again. She didn't know she had a sore under her tongue until yesterday, because she couldn't open her mouth until Sunday afternoon, 22Jan2023, then she could feel the sore under her tongue on the right side. Now she just has pain in her head and ear. The pain goes from her teeth to her head to her ear on the right side. When the pain began she took Advil. Yesterday, she didn't take the Advil and it was very painful. Caller is unable to provide outcome because she is on Advil now. I was seeing the side effects [of the vaccine] and none of the ones I have comes out, do you think it's an allergic reaction. Caller stated that "I can talk a little bit now, I'm on pain medications, because the pain goes up from part of my ear to my brain and the teeth pain is very bothersome, if a tooth pain is terrible, can you imagine, the entire part of my teeth up and down with pain, It's very upsetting.Other Conditions and Investigations: No. If applicable, list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s): None; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300036577 same patient, different vaccine dose number, different event;US-PFIZER INC-202300036578 same patient, different vaccine dose number, different event;US-PFIZER INC-202300036579 same patient, different vaccine dose number, different event;