booster; Off label use; She got her annual flu vaccine at the same time; really nasty vomiting/vomiting unusual; fever; body chills; bad headache; fatigue; body ache; 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 62-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), as dose 5 (booster), single (Lot number: 6H969Y) intramuscular, in left arm for covid-19 immunisation; influenza vaccine (FLU VACCINE VII), as dose number unknown, single (Batch/Lot number: unknown), in right arm for immunisation. The patient's relevant medical history included: "Allergic to Penicillin every form" (unspecified if ongoing); "Allergic to Hazelnut" (unspecified if ongoing); "hypertension" (ongoing), notes: She takes two light medications for her hypertension. The patient took concomitant medications. Past drug history included: Cardizem, reaction(s): "Allergic to Cardizem, which she had rash from"; Cardizem, reaction(s): "Allergic to Cardizem, which she had rash from". Vaccination history included: BNT162b2 (Dose 1), administration date: 26Mar2021, when the patient was 60-year-old, for COVID-19 immunization, reaction(s): "fever", "chills", "headache", "body ache"; BNT162b2 (dose 2), administration date: 16Apr2021, when the patient was 60-year-old, for COVID-19 immunization, reaction(s): "fever", "chills", "headache", "body ache"; BNT162b2 (dose 4), administration date: 23Mar2022, when the patient was 61-year-old, for COVID-19 immunization, reaction(s): "fever", "chills", "headache", "body ache"; Flu shot (She always gets a flu shot every year), for Immunization; Bnt162b2 (dose 3), for COVID-19 immunization, reaction(s): "chills", "headache", "body ache", "fever". The following information was reported: HEADACHE (non-serious) with onset Sep2022, outcome "recovering", described as "bad headache"; PAIN (non-serious) with onset Sep2022, outcome "recovering", described as "body ache"; CHILLS (non-serious) with onset Sep2022, outcome "unknown", described as "body chills"; FATIGUE (non-serious) with onset Sep2022, outcome "recovering"; PYREXIA (non-serious) with onset Sep2022, outcome "unknown", described as "fever"; VOMITING (non-serious) with onset 28Sep2022, outcome "recovering", described as "really nasty vomiting/vomiting unusual"; OFF LABEL USE (non-serious), outcome "unknown"; PRODUCT USE ISSUE (non-serious), outcome "unknown", described as "She got her annual flu vaccine at the same time", IMMUNISATION (non-serious), outcome "unknown", described as "booster". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of vomiting, pyrexia, chills, headache, fatigue, pain.  Additional information: It was reported that, did work for Pfizer from 2001-2014 and got kinda crappy for day or two fever, body chills, bad headache which got a fever and chills again last night. vomiting unusual but it has stopped. She still got the chills and fever and body aches and still has the nasty vomiting. She would like to know if that is a common side effect. She still plans on getting all the shots and will feel crappy a day or two. It is still better than getting COVID or dying from COVID like so many others. She knew how important it was for us to know all this stuff. She felt was important things were reported so we can research. She went for check up recently and got her weight. She has some hypertension which is why she got the shot. She got the shot last night about 3:20-3:30pm. The other 4 shots from Pfizer, 1st 4 COVID vaccines, was like a timer clicked in at 12 hours in the middle of night, fever, chills and everything and 12 hours later, her body turned it back to normal. This time, she got sick earlier. It started very late or wee hours this morning. Today she was hungry, because everything was coming out of her last night. She still has headache and fatigue, but improving. 1st dose 26Mar2021. 2nd dose 16Apr2021, Got booster dose 23Mar2022, She always gets a flu shot every year, and has not ever had any side effects. She taken two light medications for her hypertension and was taking prior to getting vaccine. She does not want her pressure to get high. Just had her annual gyn checkup and was getting ready for internist checkup. Last year was checkup was good and everything seems to be good for her age. The other 4 Pfizer COVID vaccine shots she got similar, chills, body ache, headache, fever. Did not get severe vomiting. Headache and fatigue. Started when she woke up with vomiting at either 11pm or midnight last night. She could not confirm if it was 27Sep2022 or 28Sep2022. No medical Treatment. Just laying down a lot. She was in her 30's with Penicillin and later in life for the Cardizem. She does not have the lot or expiration for those previous Pfizer COVID vaccines. Breast cancer in mom's family. They keep a close eye on her breast. Her brother has auto-immune issues and recently tackled with the past couple of year. No any prior Vaccinations (within 4 weeks) prior to the first administration date of the suspect or physician visit.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201194914 same patient, different dose/event;US-PFIZER INC-202201194916 same patient, different dose/event;US-PFIZER INC-202201194915 same patient, different dose/event;US-PFIZER INC-202201194917 same patient, different dose/event;