Difficulty breathing; Fast heart rate; Weakness; Chest pain; Puttering pounding heart beat; dizzy; Pain in arm; Beyond tired; Migraine; Muscle pain; Chills; Joint pain; Nausea; swollen lymph nodes; Diarrhea; Had no appetite; hasn't eaten; ringing in her ear; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 70-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 01Dec2022 as dose 4 (booster), single (Lot number: 6J665) at the age of 70 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "mastectomy" (unspecified if ongoing), notes: Had a mastectomy for breast cancer 19 years ago, so has a lot of scar tissue around that area; "Breast cancer" (unspecified if ongoing); "lymph node removal" (unspecified if ongoing); "peripheral neuropathy" (unspecified if ongoing), notes: peripheral neuropathy Has chemo induced peripheral neuropathy; "Prediabetic" (unspecified if ongoing), notes: Is at a 5.6-5.7 prediabetic level. Concomitant medication(s) included: TAXOL taken for breast cancer; TAXOTERE taken for breast cancer. Vaccination history included: BNT162b2 (Dose-1, LOT: EN6207), administration date: 11Mar2021, when the patient was 68-year-old, for Covid-19 immunization, reaction(s): "ringing in her ear"; BNT162b2 (Dose-1, LOT: EN6207), administration date: 11Mar2021, when the patient was 68-year-old, for Covid-19 Immunization, reaction(s): "icky-flu general side effects"; BNT162b2 (Dose-2, LOT: EW0150 or IW0510; unable to tell from the handwriting on card.), administration date: 02Apr2021, when the patient was 68-year-old, for Covid-19 Immunization, reaction(s): "ringing in her ear", "icky-flu general side effects"; BNT162b2 (Dose-3, LOT: FH8020), administration date: 05Nov2021, when the patient was 69-year-old, for Covid-19 immunization, reaction(s): "ringing in her ear", "icky-flu general side effects"; Flu shot (She has never had a problem with flu shots. Considering she is going through all this right now, should she wait to get the flue vaccine until she feels good?), for immunization. The following information was reported: FATIGUE (non-serious) with onset 2022, outcome "unknown", described as "Beyond tired"; CHEST PAIN (non-serious) with onset 2022, outcome "unknown"; CHILLS (non-serious) with onset 2022, outcome "unknown"; DIARRHOEA (non-serious) with onset 2022, outcome "unknown", described as "Diarrhea"; DYSPNOEA (non-serious) with onset 2022, outcome "unknown", described as "Difficulty breathing"; HEART RATE INCREASED (non-serious) with onset 2022, outcome "unknown", described as "Fast heart rate"; DECREASED APPETITE (non-serious) with onset 2022, outcome "unknown", described as "Had no appetite"; ARTHRALGIA (non-serious) with onset 2022, outcome "unknown", described as "Joint pain"; MIGRAINE (non-serious) with onset 2022, outcome "unknown"; MYALGIA (non-serious) with onset 2022, outcome "unknown", described as "Muscle pain"; NAUSEA (non-serious) with onset 2022, outcome "unknown"; PAIN IN EXTREMITY (non-serious) with onset 2022, outcome "unknown", described as "Pain in arm"; PALPITATIONS (non-serious) with onset 2022, outcome "unknown", described as "Puttering pounding heart beat"; ASTHENIA (non-serious) with onset 2022, outcome "unknown", described as "Weakness"; DIZZINESS (non-serious) with onset 2022, outcome "unknown", described as "dizzy"; FEEDING DISORDER (non-serious) with onset 2022, outcome "unknown", described as "hasn't eaten"; TINNITUS (non-serious) with onset 2022, outcome "unknown", described as "ringing in her ear"; LYMPHADENOPATHY (non-serious) with onset 2022, outcome "unknown", described as "swollen lymph nodes". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of migraine.  Additional information: Calling in regards to the fourth Covid-19 booster shot she got Thursday. She had the first three vaccines and had icky-flu general side effects afterwards like most people do. Got really sick after this first vaccine. Didn't look through the list of side effects. She is usually aware of the side effects of most drugs. She didn't want to jinx herself this time though. By the time she got home Friday and on Saturday and Sunday she's been having 3/4ths of the side effects. Doesn't have all the side effects. Knows about cognitive behavior therapy, relaxation, and breathing. Had difficulty breathing, no swelling in face or throat. Had fast heart beat that was not a panic attack. knows how to slow her heart rate down for that. No rash. Had weakness, but is not sure if she was dizzy because she was laying down the whole time. Had chest pain, and the shortness of breath, puttering, pounding heart. Had a mastectomy for breast cancer 19 years ago, so has a lot of scar tissue around that area. No swelling in her face, hives, or rash. Had a little arm pain which is normal. Very tired. Couldn't even get up. It was beyond tired. Had a migraine. She gets migraines, so she has sumatriptan for the headaches. Used an injection and three pills. Have to be really careful because you cant take a bunch of that stuff. Had muscle pains and chills. Had heat turned up. Had joint pain. No fever. Had nausea and was spitting up because she hadn't eaten. Doesn't know if she had swollen lymph nodes, because her nodes were taken out with the mastectomy. Had no appetite, hasn't eaten, had diarrhea, but no vomiting because she isn't eating. She didn't faint. She is a 70 year old female in good health in spite of cancer. Never had cancer again. Takes care of herself. Is at a 5.6-5.7 prediabetic level which she is managing with diet and exercise. Doesn't usually get sick. The other three shots didn't do this to her. Would not get another booster. Not going to the hospital. If she dies, she wont have to pay her taxes at the end of January. Going to see her this Wednesday for something else. Not sure that she will make the appt because of the way she is feeling. Doctor doesn't know anything about what is going on. Doesn't go in to see her doctor that often, maybe once a year, because she doesn't get sick.Got the shot last Thursday, 01Dec2022 and had an appt the next day on Friday, so she did some shopping, ran errands, and by the time she got home, she put everything away and went to bed. Is still on the couch this morning. Didn't react this way the first three shots. Most people felt a little icky after the first three shots. She would be scared to death to take another shot of this. Thought she might die on Saturday night. Stuff that is listed on these sheets about the heart side effects and stuff could be fatal. Daughter is 44 and she got really sick with all three of the vaccines. Daughter never said that to her before. Thinks a lot of people just don't say anything and don't report it. Will talk to her daughter about calling and filing a report. Thought she was feeling better. Its wearing off. Doesn't know how the symptoms work through the system exactly. Starting to feel a little bit better. Doesn't know that she will make it to her appt Wednesday though. She cant shower to get out of house. She walks and rides a bike everyday. So this has really put her our. Doesn't get sick very often at all.Has tinnitus from breast cancer drugs. Its hissing in her ears. When she gets stressed, its louder. She's noticed that the tinnitus is worse now and as the days go on. She does all kinds of stuff to control her body and brain. She controls it through means of less stress. She didn't get sick from the other Covid-19 vaccines, but the ringing in her ear was intensified after each shot. Whatever reason that happens, she doesn't know. Pfizer can figure that out. she knows why she has it, but doesn't know why the vaccines would aggravate it. Chemo drugs she was on were Taxol and Taxotere. NDC, LOT, EXP: Unknown. They were common breast cancer drugs that were used back then. They were very terrible. She was over treated. Had 33 round so chemo even though there was no cancer in her body after the mastectomy. Were treating her just to make money. Was a Guinea pig and lab rate. Has chemo induced peripheral neuropathy. Should've stopped treatment when she first had neuropathy. Today, they stop treatment when neuropathy occurs. Her doctor knew about her's from the third treatment. Facility was closed down for maltreat. It was the (Facility Name withheld) cancer center in (Address withheld). Was a state of the art facility and were shut down because they were over treating people and she was one of them. Was really terrible. Did pet scans and there no cancer and were treating her just in case. She did it because just wanted to live because her children were little. Would never happen today because of the internet and information. And, doctors don't do that anymore. Living with this is like having chronic pain, but she learned to deal with it. Pretty healthy at this time and will probably live another 20 years not being able to feel her body. No prior vaccinations within 4 weeks.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201352991 Same reporter/patient, same drug/different dose, different AE;US-PFIZER INC-202201352993 Same reporter/patient, same drug/different dose, different AE;US-PFIZER INC-202201352992 Same reporter/patient, same drug/different dose, different AE;