Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Physical examination, SARS-CoV-2 test
Clinical narrative: Covid-19; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Covid-19) in a female patient of an unknown age who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis.    Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for an unknown indication.    Concurrent medical conditions included Blood pressure high (Blood pressure), Depression, Anxiety, Heart disorder and Cholesterol. Concomitant products included ALPRAZOLAM for Anxiety, LISINOPRIL for Blood pressure, LABETALOL for Blood pressure high, SERTRALINE for Depression, FISH OIL, LINUM USITATISSIMUM OIL, PINUS SIBIRICA (OMEGA 3 6 9 [FISH OIL;LINUM USITATISSIMUM OIL;PINUS SIBIRICA]) for Heart disorder and Cholesterol, VITAMIN B COMPLEX, COLLAGEN, VITAMIN D3 and BROMELAINS, QUERCETIN (QUERCETIN WITH BROMELAIN) for an unknown indication.   In June 2024, the patient received dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) 1 dosage form. On an unknown date, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (unknown route) 1 dosage form. In 2023, the patient experienced COVID-19 (Covid-19). The patient was treated with NIRMATRELVIR, RITONAVIR (PAXLOVID) in August 2023 at an unspecified dose and frequency and NIRMATRELVIR, RITONAVIR (PAXLOVID) in February 2024 at an unspecified dose and frequency. At the time of the report, COVID-19 (Covid-19) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2023, SARS-CoV-2 test: Positive. On 17-Aug-2024, SARS-CoV-2 test: (Positive) Saturday. On 18-Aug-2024, SARS-CoV-2 test: (Positive) Sunday. On 19-Aug-2024, SARS-CoV-2 test: (Positive) Monday. On an unknown date, Physical examination: Height: Approximately 202 pounds.     The action taken with SPIKEVAX NOS (SPIKEVAX NOS) (Unknown) was unknown.       She was given a prescription for Paxlovid, but the cost was over 300 so she did not get it filled. She found out about the Pfizer assistance for Paxlovid and called they and was given numbers to give to the pharmacy to get it filled but she still wanted to know if it was too late to take it. This was her third time having Covid and both times she had Paxlovid (once in August 2023 and February 2024) and she didn't pay much for it. She has had all her covid vaccines. All of them have been Moderna except for the booster she got in June which was a Pfizer vaccine. dosage and administration was 2.1.The 5-day treatment course of PAXLOVID should be initiated as soon as possible after a diagnosis of COVID-19 has been made, and within 5 days of symptom onset even if baseline COVID-19 symptoms were mild. Patient was on the line calling regarding third time have covid. Initially found out had covid for a third time Saturday 17-Aug-2024. She then went to the doctor on Monday, 19-Aug-2024. She initially stated she did not have it because has not gotten it re-filled, but then clarified and stated she means has not gotten it filled yet. She confirmed the one received Jun 2024 was the only Covid Vaccine manufactured by Pfizer she received. The other covid vaccines were a different manufacturer. Initially confirmed date received the Pfizer Covid Vaccine as 20Jun2024. However, later in call she clarified it was Jun 2024, but she did not know the exact date. she received another vaccine, the Hepatitis Vaccine. Never had anything related to liver issues thankfully. It was stated this was her day 5. She did not pick up the prescription when it was prescribed when she saw her doctor because it was too much out of pocket. She did not know about this program until evening.