I am suppose to get two doses of this vaccine; I am not sure she gave me the fourth booster; my blood pressure dropped like 280, 86/ 55; Chest pain; Dizzy; I was very short of breath yesterday; Nauseous; Headache; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 63-year-old patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), as dose number unknown (booster), 30 ug single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Migraine" (unspecified if ongoing), notes: Migraine; "Cardiac arrhythmia" (unspecified if ongoing), notes: Cardiac arrhythmia; "COPD" (unspecified if ongoing), notes: COPD, I have had mild COPD but I am not on any COPD Medication right now. Concomitant medication(s) included: TROKENDI taken for migraine; METOPROLOL taken for arrhythmia. Vaccination history included: Covid-19 vaccine (Primary Immunization series complete but unknown manufacturer), for Covid-19 immunization.  The following information was reported: CHEST PAIN (non-serious) with onset 09Oct2022, outcome "unknown"; DIZZINESS (non-serious) with onset 09Oct2022, outcome "unknown", described as "Dizzy"; HEADACHE (non-serious) with onset 09Oct2022, outcome "unknown"; DYSPNOEA (non-serious) with onset 09Oct2022, outcome "unknown", described as "I was very short of breath yesterday"; NAUSEA (non-serious) with onset 09Oct2022, outcome "unknown", described as "Nauseous"; BLOOD PRESSURE DECREASED (non-serious) with onset 09Oct2022, outcome "unknown", described as "my blood pressure dropped like 280, 86/ 55"; PRODUCT DOSE OMISSION ISSUE (non-serious), outcome "unknown", described as "I am suppose to get two doses of this vaccine; I am not sure she gave me the fourth booster". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Consumer stated, "I got my, I hope first booster, I am not sure on Friday. I went to (Pharmacy name withheld) In (city withheld) in (withheld). The pharmacist gave me Pfizer Bival (Clarified as Bivalent vaccine) 30mcg /03ml. Is that the fourth booster".A medical information that says I am supposed to get two doses of this vaccine." Consumer also stated, "And also my blood pressure dropped like 280, 86/ 55. I was very dizzy. I was very short of breath yesterday. I had a headache. I was nauseous and I had chest pain but that was yesterday, that wasn't like on Friday that happened Yesterday." Consumer further stated, "Okay I am not sure because this piece of paper says is telling me that I need two doses of this vaccine. So I don't know whether it's Bival BA4 BA injection Pfizer (Bivalent vaccine). So I am not sure she gave me the fourth booster or and this reaction that I have like couple days later. Consumer stated, "No I used to be at radiology but I am not working right now." Other medical conditions and medications: Consumer stated, "I take Trokendi for migraine. I have cardiac problem. I take metoprolol for arrhythmia, cardiac arrhythmia. and I have had mild COPD but I am not on any COPD Medication right now.  The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.