achy shoulder; right eye pain; whole bottom part of his stomach next to his belly button covered was in what he thought was a rash, but does not look like bumps as much as it looks like a red spot 10'' long and 2 wide, itchy; general flu like symptoms that seem to have gotten worse over the week: described as nausea,  fatigue,  runny nose, cough, hard time swallowing, shortness of breath; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 61-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 26Sep2022 at 11:00 as dose 4 (booster), single (Lot number: 6149694) at the age of 60 years for covid-19 immunisation. The patient's relevant medical history was not reported. There were no concomitant medications. Vaccination history included: johnson and johnson (First dose Johnson and Johnson Covid vaccine: 06May2021, States this was a mistake, Lot: 203A21A, Expiration: unknown), administration date: 06May2021, for COVID-19 immunization; BNT162b2 (Pfizer covid booster: 30Nov2021, Lot:02030BD, thinks this is the lot number, it wasn't written well, Expiration: unknown), administration date: 30Nov2021, for COVID-19 immunization; Bnt162b2 (Pfizer covid booster: 19Apr2022 or 10Apr2022, Lot: MB4152), for COVID-19 immunization. The following information was reported: INFLUENZA LIKE ILLNESS (non-serious) with onset 27Sep2022, outcome "not recovered", described as "general flu like symptoms that seem to have gotten worse over the week: described as nausea,  fatigue,  runny nose, cough, hard time swallowing, shortness of breath"; EYE PAIN (non-serious) with onset 27Sep2022, outcome "not recovered", described as "right eye pain"; RASH MACULAR (non-serious) with onset 27Sep2022, outcome "unknown", described as "whole bottom part of his stomach next to his belly button covered was in what he thought was a rash, but does not look like bumps as much as it looks like a red spot 10'' long and 2 wide, itchy"; ARTHRALGIA (non-serious), outcome "unknown", described as "achy shoulder". Therapeutic measures were taken as a result of rash macular.  Additional information: Reporter was calling about the new covid booster. He wanted to report the side effects. He got the new covid booster on Monday. He hasn't weighed himself in a while but he probably weighs between 200-225 pounds. First thing he noticed, he got the achy shoulder. The next day the whole bottom part of his stomach next to his belly button covered was in what he thought was a rash but does not look like bumps as much as it looks like a red spot 10'' long and 2'' wide, it is very itchy, he has these spots in a couple other spots down around his stomach and around his chest. He also has general flu like symptoms that seem to had gotten worse over the week: described as nausea, fatigue, runny nose, cough, hard time swallowing, shortness of breath, right eye pain was the one that was really bothering. Outcome reported that seems like it had gotten worse, had not gotten better. Treatment reported as declines any, does not have insurance. Outcome for the red spots reported as redder than it was yesterday, Treatment reported as cleans with alcohol and use bactine, cleans it, Has not had much luck. Patient was not Administered Additional Vaccines on Same Date of the Pfizer Suspect. Patient had not attended any Emergency Room and Physician Office for the reported events. It was reported that for prior vaccination information as when he was a little kid, like polio. He does not recall any reactions and has not had any reaction to any other covid shots aside from a sore arm. Patient had falling into that 1%. People at the facility were not helpful was not told to wait around, when leaving he was given paperwork since there was a lot of pages that explains side effects that someone could had, which should have been given out before. Could had read during the 30min waiting for it. He was not expecting any side effects since this dose was his third Pfizer shot. When he woke up the next day, he thought what had changed in the last 24 hours when he noticed the itchy red spots. Recommendation that he should put on to make better and if its been reported.