migraine; sinus drainage which is associate with cough; sinus drainage which is associate with cough; lost his voice; stiff in the right side of his neck; fever; Felt like a mild case of the flu; chills; headache; extremely sore right shoulder; 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 74-year-old male patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 16Oct2023 at 11:00 as dose 1, 0.3 ml single (Lot number: HG2649) at the age of 74 years intramuscular, in right deltoid for covid-19 immunisation. The patient's relevant medical history included: "injured a knee" (unspecified if ongoing), notes: in college, had no meniscus, with just wear and tear on everything he's shorter; "Multiple Sclerosis", start date: 2007 (unspecified if ongoing), notes: diagnosed with Multiple Sclerosis. Concomitant medication(s) included: LEVOTHYROXINE; LATANOPROST taken for intraocular pressure increased; TESTOSTERONE. Past drug history included: Ibuprofen, reaction(s): "face immediately became numb", notes: 35 years ago allergic to ibuprofen due to an injury patient had received 800MG; Pradaxa, start date: 2018, for blood thinner, reaction(s): "bilateral subdural hematomas"; Betaseron for Multiple Sclerosis, reaction(s): "feet numb", notes: Hadn't had an MS attack since 2007. Vaccination history included: bnt162b2;bnt162b2 omi ba.4-5 (Dose 5, Lot#: GH9702), administration date: 22Oct2022, when the patient was 73-year-old, for covid-19 immunisation, reaction(s): "fatigue/tired", "cold", "sore/soreness in the shoulder", "aching/muscle aches"; Moderna covid-19 vaccine (Dose 1), for covid-19 immunisation, reaction(s): "sore/soreness in the shoulder", "fatigue/tired", "aching/muscle aches", "cold"; Moderna covid-19 vaccine (Dose 2), for covid-19 immunisation, reaction(s): "sore/soreness in the shoulder", "fatigue/tired", "aching/muscle aches", "cold"; Moderna covid-19 vaccine (Dose 3), for covid-19 immunisation, reaction(s): "sore/soreness in the shoulder", "fatigue/tired", "aching/muscle aches", "cold"; Moderna covid-19 vaccine (Dose 4), for covid-19 immunisation, reaction(s): "sore/soreness in the shoulder", "fatigue/tired", "aching/muscle aches", "cold". The following information was reported: ARTHRALGIA (non-serious) with onset 16Oct2023 at 22:00, outcome "recovered", described as "extremely sore right shoulder"; INFLUENZA LIKE ILLNESS (non-serious) with onset 17Oct2023, outcome "recovered", described as "Felt like a mild case of the flu"; CHILLS (non-serious) with onset 17Oct2023, outcome "unknown"; PYREXIA (non-serious) with onset 17Oct2023, outcome "recovered", described as "fever"; HEADACHE (non-serious) with onset 17Oct2023, outcome "not recovered"; MIGRAINE (non-serious), outcome "not recovered"; PARANASAL SINUS HYPERSECRETION (non-serious), COUGH (non-serious), outcome "unknown" and all described as "sinus drainage which is associate with cough"; APHONIA (non-serious), outcome "unknown", described as "lost his voice"; MUSCULOSKELETAL STIFFNESS (non-serious), outcome "unknown", described as "stiff in the right side of his neck". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of headache, migraine.  Additional information: The patient was diagnosed with Multiple Sclerosis (MS) in 2007. He had a negative reaction to immunosuppressant Betaseron so he stopped taking that. It made his feet numb. As soon as he got to the full dosage and 3/4 of the full dosage, after 20 minutes his feet would become numb, but the next day would be back to normal. One day in 2017 when he took the full dose of Betaseron, his feet went numb and have been numb since. The patient was eating fast food every day, crap food, and processed food. That was a contributing factor of Multiple Sclerosis. Changed to a clean, healthy diet with no sugar and no gluten. Got rid of anything he might be allergic to. Began eating all organic, good food. As soon as he did that, within a few months, he was feeling better and was over MS. The patient got the vaccine 16Oct2023 at about 11am and didn't feel much on the side effects that day, except at 10pm when he went to bed, he reached to turn a reading lamp over bed and realized his shoulder was in pain. Woke up on 17Oct2023 with a headache, which was not constant, patient also woke up with a mild fever, chills, extremely/horrible sore right shoulder, genuinely painful, this one far more intense pain than previous shots and lasted 3 days, typical aches and pain with soreness like he had the flu, and the fever didn't last that long, It was a mild case of flu like symptoms for 2-3 days. The patient was stiff in the right side of his neck, patient went to a chiropractor just a week ago and didn't have chiropractor do any adjustments. Chiropractor felt around his neck and said there were times when a sore shoulder from this shot can lead to stiffness in neck. During the second week the headache was moderate and painful which was constant. By the second week it was a moderate headache and then constant with his doctor and done a cat scan which turned out to be negative. At times in the last few days (the third week) it's been like a migraine at times, like a very serious headache. If he just closed his eyes and relaxes it would back off to a moderate headache. Right now, it's a moderate headache and would not go away. His headache was above and outside to the right eye and back along right side of the head, above the ear. If he looked to the right or left, the muscles in the right eye hurt. Even when the patient tried to go to sleep, the patient still had the headache. It's persistent and constant. The patient had the headache for almost a month now. Nothing was worse than having a constant headache. The patient was still consulting with doctor for potential treatment, and the doctor had recommended to take ibuprofen 200MG but there's no improvement. Patient took it at dinner time. It probably lasted for four hours and helped but then when patient went to sleep it started again. Patient didn't throw up, did not have diarrhea. The patient had a sinus drainage which was associate with cough. Patient lost his voice because of two hours of talking. The patient was working in the yard a few weeks ago and noticed he was getting tiny white spots. Was reaching into a potted plant and around a bush while pulling weeds out and cutting a rose bush. He got stuck on his bare arms then developed little tiny white spots, half a dozen on each forearm. Has nothing on his hands because he was wearing gloves. Must be allergic to something or he got stuck by something. Most of the spots have gone away. To this day every time he touches a shopping cart, he used antibacterial stuff to kill off any germs he picked up on shopping cart. He was very cautious making sure he didn't catch COVID. He had been successful at that, which lead him to believe, this was a side effect, that this was not COVID. If he had COVID he would feel more sick, and he didn't feel sick, just pain with the headache. The patient also took Levothyroxine for years, vitamins and supplements, Latanoprost used to reduce intraocular pressure and he's taken that for years, probably because he's an old fart, he was put on testosterone because his level started dropping. Takes 2 pumps of Testosterone gel. Had taken the Testosterone gel for 6 months now. Those medications above, he's all taken without any side effects.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300392045 same patient/drug, different dose/event;