We can not fall asleep; we were not sleepy; we were awake all night; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  An 83-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 11Nov2022 as dose 3 (booster), single (Lot number: GH9657) at the age of 83 years for covid-19 immunisation. The patient's relevant medical history included: "Hypertension" (unspecified if ongoing); "Hematoma" (unspecified if ongoing); "Blood pressure" (unspecified if ongoing). Concomitant medication(s) included: TOPROL taken for blood pressure abnormal; NORVASC taken for blood pressure abnormal; LISINOPRIL HCTZ taken for blood pressure abnormal; HYDRAZINE taken for blood pressure abnormal. Vaccination history included: fluzone hd quad 2022 23 pff (Date of Flu shot: Consumer stated, 07Oct2022 (Clarified as over four weeks, hence not captured as suspect)), administration date: 07Oct2022, when the patient was 83-year-old, for Immunization; Covid-19 vaccine (DOSE 1, SINGLE), for Covid-19 Immunization; Covid-19 vaccine (DOSE 2, SINGLE), for Covid-19 Immunization. The following information was reported: POOR QUALITY SLEEP (non-serious) with onset Nov2022, outcome "unknown", described as "We can not fall asleep; we were not sleepy; we were awake all night". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of poor quality sleep.  Additional Information: Patient just wanted to report and sort of curious. Patient could not find anything on the computer about side effects and one that patient would like to pursue was ability to fall asleep. On 11Nov2022 (reported as last night), wife and patient had some time and they did not have third booster yet (at the time of this report), so they had the first two and now they wanted to get the third one for the Pfizer A and B (Clarified as COVID-19 Vaccine). So, they made an appointment at at 7:15 and 7:30 and went there and they both had shots. They did not see the shot getting drawn up out of the bottle it came already in syringe and they asked him if it came from a bottle and he said yes and patient did not get about 6 of the bottle (Further not clarified) and that's what they knew about it. Patient did not see if it came from refrigeration or anything. Patient did not particularly want that kind of shot because those often to have a protection called some kind of a, patient did not know the word. Basically, they could not fall asleep. Patient and wife she had the shot and patient, they were awake all night. Patient inquired if mean it was normal and if other people experiencing it. If it was something to be concerned about or if it was one of the acceptable side effect. Patient had Hypertension. Patient took number of blood pressure preparations. One was Toprol, Norvasc. It was actually Amlodipine Besylate, patient guessed it was the non-generic name and the other one Toprol was Metoprolol. In emergency, patient used Hydrazine and the one that patient began with was Lisinopril HCTZ tablet (Further could not clarified appropriately if the patient was taking brand or generic name). Patient had routine blood test. Patient had not gotten the results yet (at the time of this report). It was just, in fact patient still (at the time of this report) had Hematoma (Further not clarified), patient just got the test on an unknown date in Nov2022 (reported as last week). Wife and patient had the same reaction and they did not expect that would be the case. They did notice a little bit later but that was because they were not sleepy but they did not take anything. Patient had annual Flu shot but patient thought it was over 4 weeks on 07Oct2022 (Clarified as over four weeks). It was Fluzone HD Quad 2022 23 PFF. (Further not clarified).; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201300334 Same product and event, different patient;