BP was 179/96; heart hurting; my shoulders, arms ached; my shoulders, arms ached; headaches; fever; chills; sweating; a little pain over my left chest; my heart was beating very fast; felt very bad; tired; Sick; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient.  A 62-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 05Jan2023 as dose 5 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose 1, He states he" just had some tiredness"), for COVID-19 immunization, reaction(s): "tiredness"; Bnt162b2 (Dose 2, He states he" just had some tiredness"), for COVID-19 immunization, reaction(s): "tiredness"; Bnt162b2 (Dose 3, first Pfizer booster dose and "got a headache for 4-5 days), for COVID-19 immunization, reaction(s): "headache"; Bnt162b2 (Dose 4, 2nd booster had no side effects), for COVID-19 immunization. The following information was reported: HYPERTENSIVE CRISIS (medically significant) with onset Jan2023, outcome "unknown", described as "BP was 179/96"; ILLNESS (non-serious) with onset Jan2023, outcome "unknown", described as "Sick"; CHEST PAIN (non-serious) with onset Jan2023, outcome "unknown", described as "a little pain over my left chest"; CHILLS (non-serious) with onset Jan2023, outcome "unknown"; FEELING ABNORMAL (non-serious) with onset Jan2023, outcome "unknown", described as "felt very bad"; PYREXIA (non-serious) with onset Jan2023, outcome "unknown", described as "fever"; HEADACHE (non-serious) with onset Jan2023, outcome "unknown", described as "headaches"; ANGINA PECTORIS (medically significant) with onset Jan2023, outcome "unknown", described as "heart hurting"; HEART RATE INCREASED (non-serious) with onset Jan2023, outcome "unknown", described as "my heart was beating very fast"; ARTHRALGIA (non-serious), PAIN IN EXTREMITY (non-serious) all with onset Jan2023, outcome "unknown" and all described as "my shoulders, arms ached"; HYPERHIDROSIS (non-serious) with onset Jan2023, outcome "unknown", described as "sweating"; FATIGUE (non-serious) with onset Jan2023, outcome "unknown", described as "tired". The patient underwent the following laboratory tests and procedures: Blood pressure measurement: (Jan2023) very fast, notes: my heart was beating very fast; (Jan2023) 179/96. Therapeutic measures were taken as a result of pyrexia, chills.  Clinical course: The caller stated he took the Pfizer-BioNTech COVID-19 Vaccine primary series 1 and 2. Patient stated, " just had some tiredness" and then received his first Pfizer booster dose and "got a headache for 4-5 days, 2nd booster had no side effects." The caller just got "my 3rd Pfizer booster dose last week on 05Jan2023, patient felt very bad after 3 hours my shoulders, arms ached and patient had headaches and at night patient got a fever and woke up at night with chills and fever and took Tylenol and then patient was sweating." caller stated he Got up in morning. "Just tired and had a little pain over my left chest and 3rd or 4th day my heart was beating very fast and then went away. Yesterday, the chest pain came back and lasted all day and my BP was 179/96 and last night the pain went away at 12:00 and at 3am patient went and for an hour or so patient had chest pain. Patient just wanted to call and see if anyone else had these symptoms, then patient wouldn't worry so much."  His wife just a little tired and sore after the Pfizer booster vaccine. Additional Context: Reporter called about third booster, this was the COVID Vaccine Booster. Wanted to know if anyone has called about his symptoms after getting this booster. He mentioned with the third booster his heart was hurting on the left side. At first, he was thinking he pulled a muscle. He wanted to know if this was one of the symptoms other people called about. Reporter mentioned he has spoken to like 3 different people and was told we would be able to help with his question. Reporter upset when informed would have to transfer to Medical Information for questions. He confirmed he does not know what departments he spoke to previously, but he had already told his story. He does not know if he spoke to the safety department.   /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-202300024481 same patient and reporter, different dose and event;