she is shrinking; not feeling well; little more physically ill; low grade fever like 1/2 a degree; achy all over; headache; pain in her arm and shoulder by the injection site; left arm and shoulder pain/arm had gotten pretty sore; shoulder pain/shoulder was achy; pain running up her neck/neck and shoulder was achy; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 66-year-old female patient received BNT162b2 (BNT162B2), on 13Jul2022 at 09:30 as dose 4 (booster), single (Lot number: FJ4991) at the age of 66 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "for bone density" (unspecified if ongoing); "thyroid" (unspecified if ongoing). Concomitant medication(s) included: LEVOTHYROXINE taken for thyroid disorder, start date: 1980; FOSAMAX taken for bone density abnormal; FISH OIL; VITAMIN D3. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Pfizer COVID-19 Vaccine:, Lot number: EN6199, Date Received: 02Mar2021, She didn't have any side effects at all with this 1st dose.), administration date: 02Mar2021, when the patient was 64-year-old, for Covid-19 immunization; BNT162b2 (DOSE 2, SINGLE, Pfizer COVID-19 Vaccine:, Lot number: EK or ER 8732, Date Received: 20Mar2021, She had a little bit of soreness in her arm after her 2nd and 3rd dose of the COVID-19 Vaccine.), administration date: 20Mar2021, when the patient was 64-year-old, for Covid-19 immunization, reaction(s): "soreness in her arm"; BNT162b2 (DOSE 3(BOOSTER), SINGLE, Pfizer COVID-19 Vaccine:, Lot number: 331708A, Date Received: 15Dec2021, She had a little bit of soreness in her arm after her 2nd and 3rd dose of the COVID-19 Vaccine.), administration date: 15Dec2021, when the patient was 65-year-old, for Covid-19 immunization, reaction(s): "soreness in her arm". The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 13Jul2022, outcome "recovered" (15Jul2022), described as "left arm and shoulder pain/arm had gotten pretty sore"; VACCINATION SITE PAIN (non-serious) with onset 13Jul2022, outcome "recovered" (15Jul2022), described as "pain in her arm and shoulder by the injection site"; NECK PAIN (non-serious) with onset 13Jul2022, outcome "recovered" (15Jul2022), described as "pain running up her neck/neck and shoulder was achy"; ARTHRALGIA (non-serious) with onset 13Jul2022, outcome "recovered" (15Jul2022), described as "shoulder pain/shoulder was achy"; PAIN (non-serious) with onset 14Jul2022, outcome "recovered" (15Jul2022), described as "achy all over"; HEADACHE (non-serious) with onset 14Jul2022, outcome "recovered" (15Jul2022); ILLNESS (non-serious) with onset 14Jul2022, outcome "recovered" (15Jul2022), described as "little more physically ill"; PYREXIA (non-serious) with onset 14Jul2022, outcome "recovered" (15Jul2022), described as "low grade fever like 1/2 a degree"; MALAISE (non-serious) with onset 14Jul2022, outcome "recovered" (15Jul2022), described as "not feeling well"; BODY HEIGHT DECREASED (non-serious), outcome "unknown", described as "she is shrinking".  Additional information: Patient is calling about the Pfizer COVID-19 Vaccine her 3rd booster but clarifies this was her 4th dose. Patient wanted to report the side effects.  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202200975335 same reporter/patient/product, different dose/AE;US-PFIZER INC-202200975336 same reporter/patient/product, different dose/AE;