Woke up with a fever (100.3) at 2:20am (26Oct). By late morning fever was up to 101.7. Started taking Tylenol around 1pm which brough fever down to 101; Injections site is hot; Injections site raised; Injections site itchy; Injections site red; Injections site pain; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 52-year-old female patient (not pregnant) received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 25Oct2022 at 11:30 as dose 4 (booster), single (Lot number: GJ6742) at the age of 52 years intramuscular, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Known allergies: penicillin" (unspecified if ongoing). Concomitant medication(s) included: MULTI VITAMIN, ROSUVASTATIN; GABAPENTIN; VICTOZA; AMITRIPTYLINE; CALCIUM; LISINOPRIL; VITAMIN D3; MELATONIN; ASPIRIN [ACETYLSALICYLIC ACID]; FISH OIL; OCUVITE [ASCORBIC ACID;BETACAROTENE;COPPER;TOCOFERSOLAN;ZINC]. Vaccination history included: Bnt162b2 (Other vaccine same date product Pfizer,, Other vaccine same date lot number EL3247,, Other vaccine same date dose number 1,  Other vaccine same date vaccine location Left Arm,), for Covid-19 immunization; Bnt162b2 (Other vaccine same date productPfizer, Other vaccine same date lot number EP6955, Other vaccine same date dose number 2,, Other vaccine same date vaccine location Left Arm,), for Covid-19 immunization; Bnt162b2 (Other vaccine same date product Pfizer,, Other vaccine same date lot number FH8027,, Other vaccine same date dose number 3,, Other vaccine same date vaccine location Left Arm,), for Covid-19 immunization. The following information was reported: VACCINATION SITE WARMTH (non-serious) with onset 26Oct2022 at 02:00, outcome "not recovered", described as "Injections site is hot"; VACCINATION SITE PRURITUS (non-serious) with onset 26Oct2022 at 02:00, outcome "not recovered", described as "Injections site itchy"; VACCINATION SITE PAIN (non-serious) with onset 26Oct2022 at 02:00, outcome "not recovered", described as "Injections site pain"; VACCINATION SITE MASS (non-serious) with onset 26Oct2022 at 02:00, outcome "not recovered", described as "Injections site raised"; VACCINATION SITE ERYTHEMA (non-serious) with onset 26Oct2022 at 02:00, outcome "not recovered", described as "Injections site red"; PYREXIA (non-serious) with onset 26Oct2022 at 02:00, outcome "not recovered", described as "Woke up with a fever (100.3) at 2:20am (26Oct). By late morning fever was up to 101.7. Started taking Tylenol around 1pm which brough fever down to 101". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pyrexia. Therapeutic measures were not taken as a result of vaccination site warmth, vaccination site mass, vaccination site pruritus, vaccination site erythema, vaccination site pain.  Additional information: Woke up with a fever (100.3) at 2:20am (26Oct). By late morning fever was up to 101.7. Started taking Tylenol around 1pm which brough fever down to 101. took Tylenol again at 7pm which brought fever down to 100. Temp was 99.5 in am. Temp normal by noon (27Oct). Injections site is hot, raised, red, painful and itchy. This started the evening of the shot with no improvement. Patient didn't receive other vaccine in four weeks. No covid prior vaccination. Patient didn't test covid post vaccination.  No follow-up attempts are possible. No further information is expected