cataract surgery; body aching; dizzy; Bilateral Rash on arms and legs/ breaking out; Throwing up/Vomiting; itching; Lethargic; soreness in her left arm; sour stomach; Things didn't taste right/ horrible taste/ bad taste/ terrible taste in her mouth; Sometimes they're raised and filled with fluid; Allergic to unspecified product; Paravascular dermatitis; Interstitial dermatitis; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team.  A female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 20Dec2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "allergic to medicine" (unspecified if ongoing). Concomitant medication(s) included: LORATADINE. Vaccination history included: Covid-19 vaccine (DOSE 1, MANUFACTURER UNKNOWN), for COVID-19 immunisation, reaction(s): "No issues"; Covid-19 vaccine (DOSE 2, MANUFACTURER UNKNOWN), for COVID-19 immunisation, reaction(s): "No issues"; Covid-19 vaccine (DOSE 3 (BOOSTER), MANUFACTURER UNKNOWN), for COVID-19 immunisation, reaction(s): "No issues". The following information was reported: HYPERSENSITIVITY (non-serious) with onset Dec2022, outcome "unknown", described as "Allergic to unspecified product"; RASH (non-serious) with onset Dec2022, outcome "unknown", described as "Bilateral Rash on arms and legs/ breaking out"; DERMATITIS (non-serious) with onset Dec2022, outcome "unknown", described as "Interstitial dermatitis"; LETHARGY (non-serious) with onset Dec2022, outcome "unknown", described as "Lethargic"; SUPERFICIAL INFLAMMATORY DERMATOSIS (non-serious) with onset Dec2022, outcome "unknown", described as "Paravascular dermatitis"; RASH PAPULAR (non-serious) with onset Dec2022, outcome "unknown", described as "Sometimes they're raised and filled with fluid"; DYSGEUSIA (non-serious) with onset Dec2022, outcome "not recovered", described as "Things didn't taste right/ horrible taste/ bad taste/ terrible taste in her mouth"; VOMITING (non-serious) with onset Dec2022, outcome "unknown", described as "Throwing up/Vomiting"; PAIN (non-serious) with onset Dec2022, outcome "unknown", described as "body aching"; DIZZINESS (non-serious) with onset Dec2022, outcome "unknown", described as "dizzy"; PRURITUS (non-serious) with onset Dec2022, outcome "not recovered", described as "itching"; PAIN IN EXTREMITY (non-serious) with onset Dec2022, outcome "not recovered", described as "soreness in her left arm"; DYSPEPSIA (non-serious) with onset Dec2022, outcome "unknown", described as "sour stomach"; CATARACT (medically significant) with onset 03Mar2023, outcome "unknown", described as "cataract surgery". The events "bilateral rash on arms and legs/ breaking out", "itching", "sometimes they're raised and filled with fluid", "paravascular dermatitis" and "interstitial dermatitis" required physician office visit. The patient underwent the following laboratory tests and procedures: Biopsy: (unspecified date) subtle, superficial dermatitis, notes: She saw her dermatologist and got biopsy done.  Her results read "paravascular and  interstitial dermatitis, with rare eosinophils."; Blood test: (2020) she was immune to the virus.. Therapeutic measures were taken as a result of cataract, pain, dizziness, rash, vomiting, pruritus, lethargy, pain in extremity, dyspepsia, dysgeusia, rash papular, hypersensitivity, superficial inflammatory dermatosis, dermatitis. Clinical course: The first thing she got was vomiting and vomiting; for quite a while until it got down to having nothing left and a sour stomach. She had body aches the first day of the shot, she felt dizzy. However the main thing was breaking out. The rash started the same day she got the bivalent shot. She got it on her legs and arms, and she was really upset and didn't have reactions to the other one. The itching has never gone away. It first started on her legs, then moved to her ankles. Then it went to her arms, her forearm. They look like little moles, and all kinds of little bumps, it looks terrible from all the breakouts. Sometimes the splotches were big and sometimes they were small. Prior to the bivalent shot, she was already taking loratadine. They increased the dose of loratadine/Claritin. She saw her doctor and they told her to start taking Benadryl. The Benadryl didn't really help so she stopped it. So she was on Loratadine and Benadryl. It would calm down for a few hours during the day. Then her doctor gave her triamcinolone ointment 0.1%. She put it on the rash, and then she will develop a rash somewhere else on the body. She could not put it on her entire body everyday. The doctor told her to use that for 2 weeks so that's what she did. When she applied the ointment topically it gave her a horrible taste her mouth. She did clarify that she did not put any ointment in her mouth but she did develop a bad taste after applying the ointment topically. The places where she put the triamcinolone, it would help and then she'd break out somewhere else. The last thing they had her try was Zyrtec, but after 3-4 day she stopped. It made her very lethargic and it gave her a terrible taste in her mouth. They also told her to take Pepcid, but she was not sure that was what causes the sour taste in her mouth and stomach. The last time she took Zyrtec, she had the rash from waist to under the bust, real fine watery blisters, so the Zyrtec didn't seem to help any. Now it was on her back, middle of her back, lower legs, upper thighs buttocks, close to vaginal area. Under her eyes is extremely dry, and she's stayed off of deodorant. When she got it on her bust and nipples it itched, they told her they could put the triamcinolone on it but not to use it too long. The only thing that had helped. had tried taking some detox tea and detox foot pads. Everything she had tried did not seem to work. What was odd was that if she started getting a rash on one side of her body, it would show up in the exact same place on the other side of her body. Sometimes they were raised and filled with fluid. They had got this viscous liquid inside of them. There will be one blister then an inch from that one and an inch from that another one. Now it went down to her wrist, the wrist wasn't included at first but now it is. Yesterday her wrist broke out on the other side in the same place. On 03Mar2023 she had cataract surgery. She had to go back a couple time, because pressure in her eyeball increased. The pressure was so great they had to puncture it to release pressure. They also gave her prednisolone eye drops. That put a bad taste in her mouth too. She thought they were done but last month, her eye started hurting again with pressure like before and it was the weekend. So she called and asked if there was anything to recommend and they told her to take the prednisolone eye drops and that helped. The eye doctor wants her to get the other eye done, but wont do it again the eye pressure. She did not take much medicine, only levothyroxine and hydrochlorothiazide. Her doctor suggested maybe stopping one of those to see if it's the problem. The dermatologist is recommending another biopsy, deplete herself, allergy test, maybe stop taking some of the medicine and see if that will help. They also told her to get Sarno. She wanted to reach out to an herbalist and see if they could help her. On 20Dec had number four shot, the Bivalent Covid Shot, received at about a quarter till 12. Wait for a while before leaving and waited 15 to 20 minutes then left and went home. About 5 o'clock started throwing up, was dizzy, had sour taste in stomach and was itching and breaking out. So tried to do relaxing and do whatever could do. Sour stomach was bad. Finally stopped throwing up because nothing there. Had been itching ever since, for 6 months. She took some flesh and checked it out and said was allergic to a medicine.  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.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300232282 same patient, different drug/events;