cough for 15 years, but this one seems worse; constant drainage in the back of her throat; 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 female patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 02Nov2023 at 10:00 as dose 1, single (Batch/Lot number: unknown) at the age of 74 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "heart surgery", start date: 07Jan2015 (unspecified if ongoing); "she also has COPD", start date: 05Jul2018 (unspecified if ongoing), notes: 05Jul2018 diagnosed with COPD; "Asthma", start date: May1990 (unspecified if ongoing); "allergic to trees" (unspecified if ongoing), notes: On 01Mar1991 had allergy testing allergic to mold, dust mites, and trees.; "Has lots of allergies with things" (unspecified if ongoing); "Allergic to sulfa" (unspecified if ongoing); "allergic to mold" (unspecified if ongoing), notes: On 01Mar1991 had allergy testing allergic to mold, dust mites, and trees.; "allergic to dust mites" (unspecified if ongoing), notes: On 01Mar1991 had allergy testing allergic to mold, dust mites, and trees. Concomitant medication(s) included: FLONASE [MOMETASONE FUROATE] (ongoing); ASPIRIN [ACETYLSALICYLIC ACID] oral (ongoing); MAGNESIUM oral taken for muscle spasms, start date: 15Oct2023; PRESERVISION oral, start date: 03Sep2014 (ongoing); PRAVASTATIN oral, start date: 2015 (ongoing); VITAMIN D3 oral (ongoing); ZYRTEC ALLERGY, start date: 2023 (ongoing); PANTOPRAZOLE oral (ongoing); AMLODIPINE BESYLATE oral, start date: 18Feb2023 (ongoing). Past drug history included: Trilogy ellipta, reaction(s): "rash on arms and legs", notes: inhaler; Trilogy ellipta, start date: 22Jun2018, stop date: 25Jun2018, reaction(s): "made her cough worse", notes: inhaler, she did it for 4 days and stopped; Azelastine hci, reaction(s): "Didn't work", notes: nasal spray; Azelastine hci, reaction(s): "muscle spasms", notes: nasal spray; Azelastine hci, reaction(s): "her cough was worse", notes: nasal spray; Aerobid, start date: 1991, stop date: 1991, for asthma, notes: inhaler. Vaccination history included: pfizer booster bivalent covid 19 vaccine (DOSE 6 (BOOSTER), SINGLE, lot GJ3268), administration date: 01May2023, when the patient was 74-year-old, for COVID-19 immunization; pfizer bivalent covid 19 vaccine (DOSE 5 (BOOSTER), SINGLE, lot unknown), administration date: 12Sep2022, when the patient was 73-year-old, for COVID-19 immunization; pfizer covid 19 vaccine (DOSE 4 (BOOSTER), SINGLE, Lot FK9895), administration date: 05Apr2022, when the patient was 73-year-old, for COVID-19 immunization; pfizer covid 19 vaccine (DOSE 3 (BOOSTER), SINGLE, lot 3014 either 5 or S OA), administration date: 01Oct2021, when the patient was 72-year-old, for COVID-19 immunization; pfizer covid 19 vaccine (DOSE 2, SINGLE, lot EN6205 at (Withheld)), administration date: 29Mar2021, when the patient was 72-year-old, for COVID-19 immunization; pfizer covid 19 vaccine (DOSE 1, SINGLE, lot EN6208 at (Withheld)), administration date: 08Mar2021, when the patient was 71-year-old, for COVID-19 immunization; flu (Flu shot on 29Sep2023), administration date: 29Sep2023, when the patient was 74-year-old, for immunization; rsv vaccine (08Sep2023 RSV vaccine at (Pharmacy withheld) in (Withheld), Arexvy 10 pack tip), administration date: 08Sep2023, when the patient was 74-year-old, for immunization; Fluad-quad 2023-2024 syringe (Fluad-quad 2023-2024 syringe), for immunization; Shingles (had numerous others like shingles, the flu shot every year and pneumonia shot), for immunization; Flu shot every year (had numerous others like shingles, the flu shot every year and pneumonia shot), for immunization; Pneumonia shot (had numerous others like shingles, the flu shot every year and pneumonia shot), for immunization. The following information was reported: UPPER-AIRWAY COUGH SYNDROME (non-serious) with onset 03Nov2023, outcome "recovering", described as "constant drainage in the back of her throat"; COUGH (non-serious) with onset 03Nov2023, outcome "recovering", described as "cough for 15 years, but this one seems worse". The events "cough for 15 years, but this one seems worse" and "constant drainage in the back of her throat" required physician office visit. Therapeutic measures were taken as a result of cough, upper-airway cough syndrome. Additional information: The consumer received a dose of Comirnaty on 02Nov2023. She had a cough for 15 years, but this one seems worse. She wanted to know if this is a reported side effect from the vaccine. From 07Jan2015,  heart surgery now they say she also had COPD, confirmed again not sure if asthma and COPD or asthma 05Jul2018. The vaccine was administered in her left arm in the muscle at 10am. The concomitant medication ASPIRIN was started taking after heart surgery, Magnesium was restarted taking about 3 weeks ago around 15Oct2023. would take it awhile and then stop because she is better and then starts up again and her doctor said to, because with coughing spells she will get muscle spasms, PreserVision plus multivitaminstarted taking because she was told it would help epiretinal membrane not continue to get worse, it is not so bad it needs, pravastatin had been taking off and on, she had been on other statins, got leg cramps so only did Monday, Wednesday, Friday, it seemed to work this way, probably taking since 2015, manufacturer Apotex corporation, lot unknown, in pharmacy bottle, doctor insisted after heart surgery she should be on a statin, Zyrtec started taking about 2 months ago, sometimes would do Claritin and sometimes Zyrtec, it depends on what she had.  The consumer had a consumer on the line calling regarding Comirnaty and received dose on 02Nov2023 and she had a cough ever since. Described she had this cough for 15 years but seems it is a worse cough. Reporter stated it seemed like worse since she took the vaccine, coughing more frequently. The reporter called to report as possible side effect and she wondered if anyone had same side effect and he said not that he saw. Patient's height is 4 foot 10 and a half, she is a short little thing and weight is about 145, she is overweight but tells her doctor if she were taller she wouldn't be. She has been working with him 15 years, no one can figure it out. She noticed more frequent coughing the day after the shot on 03Nov2023.Stated it did seem a little bit better 06Nov2023. If she starts talking a lot, it seems like it gets worse then. It's constant drainage in the back of her throat. Her doctor knew and said he can see it. The sinus doctor says no sinus drainage. She asked doctor where it is coming from. She did cough drops and water sometimes helps sometimes doesn't. It has increased since she had the shot.Maybe from weather. Probably increase in sinus drainage, she usually had cough at same time as sinus drainage. She took Flonase every day one spray each nostril. She sometimes takes Claritin or Zyrtec. None seem to do anything, and her sinus doctor said she was wasting money because she has no sinus problems, but she did it anyway, she stated he squeezed her arm to put in. Hasn't done that before. For indication, because of her cough and had heart surgery aortic valve replacement, age, and family doctor wanted her to get all of them. Got all the boosters, RSV in Sep2023, flu shot Oct2023 and this vaccine 02Nov2023. For concomitant medications, she had nothing she doesn't normally take. The investigation was none, she went for normal testing her doctor signed her up for. On 01Mar1991 had allergy testing and is allergic to mold, dust mites, and trees. The was no family medical history relevant to adverse events. For adverse events, it was not emergency or urgent care, just doctor office. She had gone to sinus doctor and everyone she can think of. Tried giving different inhalers for asthma and COPD and sometimes made it worse. She didn't recall names. It was tri something they advertise on TV has 3 things in it. Doctor thought it's the ones that are a powder that don't work for her. Knows when 1st diagnosed she was on something called she doesn't know, she took for years. Some she can't take like Asthmacort. She got a rash on her back and shoulder. manufacturer and lot unknown it was 1997. She ahd a lot of allergies. She was allergic to sulfa. She stated the medication was Trilogy Ellipta inhaler and she can't take it because she also got rash on arms and legs and made her cough worse. She did it for 4 days and stopped. Manufacturer and lot unknown. Took 22Jun-25Jun2018. Azelastine HCI nasal spray made it worse, manufacturer and lot unknown, it didn't work, her cough was worse and she had muscle spasms. She started that back when saw ENT 01Nov2017, went to pulmonologist 14Jun2018, 05Jul2018 diagnosed with COPD and asthma, saw ENT 08Nov2021 and 12Nov2021. She has 4 pages of health history and medications and vaccine dates. She carries it in her purse in case anything comes up. She das lots of allergies with things. Tries not to take anything if doesn't have to. She stated started with Aerobid inhaler in 1991 with asthma, manufacture and lot unknown, didn't think they make it anymore.  Wonders if something, like when years and years ago when she was young when they moved to (Withheld) from (Withheld) in 1960-1961 she was sick when they moved. She wonders if because she was sick with cold or something was a change in the air from (withheld) to (withheld). She didn't know. She said to doctor and they said possible they can't figure it out. She did seem a little better today than last several days since she had the shot. She had called to see if shot made it worse or something in the shot that might have caused that the other shots didn't have. She didn't recall this with other Covid shots. Thought she should report.    The information on the batch/lot number for bnt162b2 omi xbb.1.5 has been requested and will be submitted if and when received.