headache; started getting sick; sneezing; drainage and blowing my nose; fever; didn't feel well; have congestion still in my left sinus; fever sore in my nose; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 71-year-old female patient received BNT162b2 (BNT162B2), on 26May2022 at 11:30 as dose 4 (booster), single (Lot number: FJ4989) at the age of 71 years, in left arm for covid-19 immunisation. The patient's relevant medical history was not reported. There were no concomitant medications. Vaccination history included: BNT162b2 (Dose 1, lot EW0186), administration date: 06May2021, when the patient was 70-year-old, for Covid-19 immunization, reaction(s): "little bit of soreness from my shot"; BNT162b2 (Dose 2, lot of EW0186), administration date: 12Jun2021, when the patient was 70-year-old, for Covid-19 immunization, reaction(s): "little bit of soreness from my shot"; BNT162b2 (Dose 3), administration date: 14Jan2022, when the patient was 71-year-old, for COVID-19 Immunization, reaction(s): "little bit of soreness from my shot".  The following information was reported: FEELING ABNORMAL (non-serious) with onset 26May2022, outcome "recovering", described as "didn't feel well"; RHINORRHOEA (non-serious) with onset 26May2022, outcome "recovering", described as "drainage and blowing my nose"; PYREXIA (non-serious) with onset 26May2022, outcome "unknown", described as "fever"; ORAL HERPES (non-serious) with onset 26May2022, outcome "recovering", described as "fever sore in my nose"; NASAL CONGESTION (non-serious) with onset 26May2022, outcome "recovering", described as "have congestion still in my left sinus"; SNEEZING (non-serious) with onset 26May2022, outcome "recovering"; ILLNESS (non-serious) with onset 26May2022, outcome "recovering", described as "started getting sick"; HEADACHE (non-serious), outcome "unknown".  additional information: the caller was on the line and age 71 and mentioned receiving the fourth dose of the Pfizer Covid19 vaccine last Thursday 28May2022 and had all four doses of the Pfizer Covid vaccine; states she started getting sick about 20 minutes after the 4th dose of the vaccine and after she received that shot she started getting sneezing and a runny nose, later that night had fever and did not feel well and kept having draining and blowing her nose and also mentioned she has congestion in her left sinus and a fever sore in her nose; states with her other three Pfizer Covid vaccines she had no problem except for a little bit of soreness from the shot; states it has been 5 days and her symptoms are less but she still has the symptoms now and she is going for dental work next week on Tuesday. Caller verified the information provided by the transferring agent and states her fever sore in her nose began probably two days ago now and is starting to go away and is improved but is still there and she can see still that it is reddish; states her other three Pfizer Covid shots she had no problem with and the sores she had with she thinks probably all three of her prior vaccine doses and it was very little soreness and not anything to be concerned about like when one gets a shot it is usually not dramatic but she had a little soreness from the 4th dose of the Pfizer Covid vaccine also and thinks all of her Pfizer Covid vaccine doses were in her left arm and the soreness was at the injection site; states the soreness at the injection site is absolutely gone and began when she had the shot and it ended on Thursday 26May2022.  States she has a headache and congestion and is trying not to get a sore throat and definitely feels better but as she mentioned the concern was that she was trying to move and sell her house and her attention was needed and it was time taken away if she was going to be sick a little bit then ok but if she even got sick and she thought does she have covid and she is going for dental work next week and wanted to make sure not to give anyone else this and will talk to her doctor and wait a day or two to see if her symptoms are pretty much gone.