feel more tired and not well; feel more tired and not well; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  An 82-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 19Oct2022 at 14:30 as dose 5 (booster), single (Batch/Lot number: unknown) at the age of 82 years for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: BNT162b2 (04-MAR-2021, Dose 1, Lot: ER8730, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 04Mar2021, when the patient was 80-year-old, for Covid-19 immunization; BNT162b2 (25Mar2022, Dose 2, Lot: EN6206, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 25Mar2022, when the patient was 81-year-old, for Covid-19 immunization; td (Historical Vaccine: Td, Vaccine Type: DT/DTP/DTaP/Td, Vaccine: Td , Date given: 18Oct2010, Manufacturer: Unknown), administration date: 18Oct2010, when the patient was 70-year-old, for Immunization; tdap (Historical Vaccine: TDAP, Vaccine Type: DT/DTP/DTaP/Td, Vaccine: Tdap, Date given: 24Apr2017, Next imm due: N/A, Manufacturer: Smithkline/ 5B33E, Injection site: LD (Left Deltoid), IM (Intramuscular), Provider: (Name withheld), Clinic: (Clinic name withheld), Immunization), administration date: 24Apr2017, when the patient was 76-year-old, for Immunization; influenza (Historical Vaccine: Influenza, Vaccine Type: Influenza, Vaccine: Influenza, Date given: 24Nov2006, Manufacturer: Unknown), administration date: 24Nov2006, when the patient was 66-year-old, for Immunization; influenza (Historical Vaccine: Influenza, Vaccine Type: Influenza, Vaccine: Influenza, Date given: 15Nov2007, Manufacturer: Unknown), administration date: 15Nov2007, when the patient was 67-year-old, for Immunization; influenza (Historical Vaccine : Influenza , Vaccine Type: Influenza, Vaccine: Influenza, Date given: 10Nov2008, Manufacturer: Unknown), administration date: 10Nov2008, when the patient was 68-year-old, for Immunization; influenza (Historical Vaccine: Influenza, Vaccine Type: Influenza, Vaccine: Influenza, Date given: 28Sep2009, Manufacturer: Unknown), administration date: 28Sep2009, when the patient was 69-year-old, for Immunization; influenza (Historical Vaccine: Influenza, Vaccine Type: Influenza, Vaccine: Influenza, Date given: 18Oct2010, Manufacturer: Unknown), administration date: 18Oct2010, when the patient was 70-year-old, for Immunization; influenza (Historical Vaccine: Influenza, Vaccine Type: Influenza, Vaccine: Influenza, Date given: 24Oct2016, Manufacturer: Smithkline/ 359J9, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 24Oct2016, when the patient was 76-year-old, for Immunization; influenza (Historical Vaccine: Influenza, Vaccine Type: Influenza, Vaccine: Influenza, Date given: 05Oct2017, Manufacturer: Unknown, Manufacturer: Smithkline/ 222FX, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 05Oct2017, when the patient was 77-year-old, for Immunization; influenza (Historical Vaccine: Influenza, Vaccine Type: Influenza, Vaccine: Influenza, Date given: 04Oct2018, Manufacturer: Unknown, Manufacturer: Smithkline/ 3PM59, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 04Oct2018, when the patient was 78-year-old, for Immunization; influenza (Historical Vaccine: Influenza, Vaccine Type: Influenza, Vaccine: Influenza, Date given: 04Oct2019, Manufacturer: Unknown, Manufacturer: Smithkline/ MB9YJ, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 04Oct2019, when the patient was 79-year-old, for Immunization; influenza (Historical Vaccine: Influenza, Vaccine Type: Influenza, Vaccine: Influenza, Date given: 18Sep2020, Manufacturer: Unknown, Manufacturer: Smithkline/ MH5BH, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 18Sep2020, when the patient was 80-year-old, for Immunization; influenza (Historical Vaccine: Influenza, Vaccine Type: Influenza, Vaccine: Influenza, Date given: 22Sep2021, Manufacturer: Unknown, Manufacturer: Smithkline/ Z3MK7, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 22Sep2021, when the patient was 81-year-old, for Immunization; pnu-23 (PNEUMOVAX 23 [PNEUMOCOCCAL VACCINE], Vaccine Type: PCV, Vaccine: PNU-23, Date given: 24Nov2006, Manufacturer: Unknown), administration date: 24Nov2006, when the patient was 66-year-old, for Immunization; pnu-13 (Historical Vaccine: PNU-13, PNEUMOCOCCAL 13 VALENT VACCINE, Vaccine Type: PCV, Vaccine: PNU-13, Date given: 24Oct2016, Next imm due: 21May2090, Manufacturer: Unknown/ N47827, Injection site: RD (Right Deltoid), IM (Intramuscular)), administration date: 24Oct2016, when the patient was 76-year-old, for Immunization; zoster shingrix (Historical Vaccine: Zoster  SHINGRIX, Vaccine Type: Other , Vaccine: Zoster Unspecified, Date given: 17Jun2010, Manufacturer: Merck/0146Z, Injection site: RA (Right Arm), SQ (Subcutaneous)), administration date: 17Jun2010, when the patient was 70-year-old, for Immunization; zoster recombinant (Historical Vaccine: Zoster recombinant, Vaccine Type: Other , Vaccine: Zoster recombinant, Date given: 19Sep2019, Manufacturer: Smithkline /9LG54, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 19Sep2019, when the patient was 79-year-old, for Immunization; shingrix (Historical Vaccine: SHINGRIX, Zoster recombinant   SHINGRIX, Vaccine Type: Other , Vaccine: Zoster recombinant, Date given: 20Nov2019, Manufacturer: Smithkline /1336146166, Injection site: LD (Left Deltoid), IM (Intramuscular)), administration date: 20Nov2019, when the patient was 79-year-old, for Immunization; BNT162b2 (Historical Vaccine: BNT162B2, Covid-19, date: 30Nov2021, Lot number: FF2593, Injection site: LD, IM), administration date: 30Nov2021, when the patient was 81-year-old, for Covid-19 immunization; BNT162b2 (DOSE 4 (BOOSTER), SINGLE), administration date: 20Apr2022, when the patient was 81-year-old, for Covid-19 immunization; moderna coviD-19 vaccine (20-APR-2022 00:00, Vaccine: Other , Product name/Manufacturer/Lot number: Moderna 046L2IA, Date: 20Apr2022, Healthcare Professional or Clinical Site: (withheld)), administration date: 20Apr2022, when the patient was 81-year-old, for Covid-19 immunization; Bnt162b2 (3rd dose), for Covid-19 immunization, reaction(s): "sore arm". The following information was reported: MALAISE (non-serious), FATIGUE (non-serious), outcome "unknown" and all described as "feel more tired and not well".  The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.