pneumonia; dry vomiting; explosive vomiting; uncontrollable muscle spasms; headaches; pack aches or just aches everywhere; explosive diarrhea; My nose like it fill up; uncontrollable sneezing/constant sneezing; I was deadly sick; in pain; had no muscle tone; cannot even hardly stand up for 5 minutes; went from size 40 to size 34; could not sit up; The initial case was missing the following minimum criteria: adverse event. Upon receipt of follow-up information on 04Aug2023, this case now contains all required information to be considered valid.  This is a spontaneous report received from a contactable reporter (Consumer or other non HCP). The reporter is the patient. A 70-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 06Jan2023 as dose 4 (booster), single (Lot number: GK1337) at the age of 70 years for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: coviD-19 vaccine (dose 2; manufacturer unknown (Moderna, Pfizer)), administration date: 08Apr2021, when the patient was 68-year-old, for COVID-19 IMMUNIZATION; coviD-19 vaccine (dose 2; manufacturer unknown (Moderna, Pfizer)), administration date: 04May2021, when the patient was 68-year-old, for COVID-19 IMMUNIZATION; coviD-19 vaccine (dose 3; manufacturer unknown (Moderna, Pfizer)), administration date: 10Feb2022, when the patient was 69-year-old, for COVID-19 IMMUNIZATION; Pneumococcal vaccine (even got the pneumonia), for Immunization. The following information was reported: PNEUMONIA (medically significant), outcome "unknown"; The following information was reported: PNEUMONIA (medically significant), outcome "unknown"; VOMITING (non-serious), outcome "unknown", described as "dry vomiting"; VOMITING PROJECTILE (non-serious), outcome "unknown", described as "explosive vomiting"; MUSCLE SPASMS (non-serious), outcome "unknown", described as "uncontrollable muscle spasms"; HEADACHE (non-serious), outcome "unknown", described as "headaches"; MYALGIA (non-serious), outcome "unknown", described as "pack aches or just aches everywhere"; DIARRHOEA (non-serious), outcome "unknown", described as "explosive diarrhea"; NASAL CONGESTION (non-serious), outcome "unknown", described as "My nose like it fill up"; SNEEZING (non-serious), outcome "unknown", described as "uncontrollable sneezing/constant sneezing"; ILLNESS (non-serious), outcome "unknown", described as "I was deadly sick"; PAIN (non-serious), outcome "unknown", described as "in pain"; HYPOTONIA (non-serious), outcome "unknown", described as "had no muscle tone"; DYSSTASIA (non-serious), outcome "unknown", described as "cannot even hardly stand up for 5 minutes"; WEIGHT DECREASED (non-serious), outcome "unknown", described as "went from size 40 to size 34"; GAIT INABILITY (non-serious), outcome "unknown", described as "could not sit up". Clinical course details: the patient reported that he got Pneumonia vaccine (Unspecified Pneumonia Vaccine) and caught Pneumonia which lasted for 40 days, and he used sauna as treatment as he thermalized 42 sites. He had no muscle tone and was in pain. He mentioned that the Pfizer Pneumonia Vaccine is what he "got sore throat that Pneumonia". The patient commented that he could have died as it lasted 40 days, had projectile vomiting, diarrhea, constant sneezing, could not sit up and could not keep nothing down for 40 days and 40 nights of that in total pain. There was explosive vomiting, dry vomiting, explosive diarrhea put this way, sitting on the toilet, having diarrhea and vomiting on top on the other side of me at the same time. He further mentioned that he was still in pain, had no muscles and can hardly walk. He mentioned that he got news of pneumonia part like 4 days when he was totally sick for 40 days and went from size 40 to size 34. He had one dry vomiting with uncontrollable muscle spasms with headaches, pack aches or just aches everywhere. His nose was like filled up and had an uncontrollable sneezing lasting a long time. The patient stated that he stayed in the house and could not go anywhere because he was too sick and not have infected anyone. The patient mentioned that he took vitamins and protein as treatment for right side effects were not having a muscle mass and cannot even hardly stand up for 5 minutes. He added that in 40 days of total like almost having a heart attack and stroke. He mentioned that he got rid of part of pneumonia right away, pneumonia part of it does not even last a week and got rid of it in a week because he has had pneumonia and it is hard to do 150 degrees of Sauna daily till it was gone and deep breathing. When the patient was asked the name of the pneumonia vaccine, he mentioned that it was "the pneumonia vaccine, the one-time pneumonia vaccine thing" manufactured by Pfizer. The patient mentioned that the covid vaccine were Moderna, Pfizer. He added that he was deadly sick and could have heart attack and stroke which felt like he was getting there. He stated that he could even die but he was still alive, and it was all over and all he gets little loss lot of multi-meds. He mentioned that he was putting them back on slowly by little exercise by some protein shakes and extra vitamins. He also added he went public health department where they just gave him the shot (Unspecified Pfizer Pneumonia Vaccine). He also mentioned that he was gargling a lot with salt water 150-degree, infrared dry sun with deep breathing and get rid of it like 4 days the pneumonia. The patient was not hospitalized and did not go get labs done. Therapeutic measures were taken as a result of pneumonia, weight decreased. Therapeutic measures were not taken as a result of vomiting, vomiting projectile, muscle spasms, headache, myalgia, diarrhoea, nasal congestion, sneezing, illness, pain, hypotonia, dysstasia, gait inability.  No follow-up attempts are possible. No further information is expected.