Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Drug ineffective, SARS-CoV-2 test, White blood cell count
Clinical narrative: she tested positive 03Sep; she tested positive 03Sep; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient.  A 62-year-old female patient received bnt162b2, bnt162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 30Nov2022 as dose 5 (booster), single (Lot number: GJ5342) at the age of 61 years, in right arm for covid-19 immunisation; bnt162b2 (BNT162B2), on 05Mar2021 as dose 1, single (Lot number: EN6204, Expiration Date: 30Jun2021), on 26Mar2021 as dose 2, single (Lot number: EN6208), on 25Oct2021 as dose 3 (booster), single (Lot number: FF8839, Expiration Date: 22Nov2021) and on 19Jul2022 as dose 4 (booster), single (Lot number: FJ9943) for covid-19 immunisation. The patient's relevant medical history included: "Caller mentioned that she has Lupos", start date: 2013 (ongoing); "her white blood count is down to 2.6" (unspecified if ongoing), notes: her white blood count is down to 2.6; "Caller is immunocompromised." (unspecified if ongoing). There were no concomitant medications. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 03Sep2023, outcome "unknown" and all described as "she tested positive 03Sep". Clinical course details: The patient (the caller) stated that her husband had a Moderna Covid 19 vaccine and she had the Pfizer Covid 19 vaccine (caller referring to vaccination in the past). She stated that her husband tested positive for Covid on September 1st, and she tested positive on September 3rd, they already took Paxlovid and had a mild case of Covid. Immediately after testing positive, her husband took Paxlovid and 03Sep she tested positive for Covid, she reached out to her rheumatologist and was recommended to take Paxlovid as well which she did. As it was such a mild case of Covid, she was afraid that she will get it again so she was asking how soon she can get the newest Pfizer Covid 19 vaccine (verified 2023-2024 formula) as they are getting ready to go on a trip. At this point, she stated that she had lupus, her white blood count is down to 2.6, which per the patient is always very low. She was also asking if they can get the latest Pfizer Covid19 booster as she was googling the information, she was getting conflicting information. Some info says to wait 90 days, some says to wait 2 weeks. She stated that she started taking Paxlovid on 03Sep and still has barely a cough that could be a cold. Per the patient, she never got a bad cough, she barely felt sick, it was such a mild case per the patient. She has gotten sicker after a Mexican meal, asking when she can get the Pfizer Covid 19 vaccines and if she should wait. The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (unspecified date) Negative; (unspecified date) Positive; (03Sep2023) Positive; White blood cell count: (unspecified date) 2.6, notes: her white blood count is down to 2.6 - per caller is always very low. Therapeutic measures were taken as a result of drug ineffective, covid-19.