Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Sinusitis, X-ray
Clinical narrative: not sleeping on that shoulder; Sinus infection/Head Congestion; Bronchitis; Positive Covid Test; Positive Covid Test; This is a spontaneous report from a contactable consumer. A 65-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in left arm on 03Feb2021 (Batch/Lot Number: EL9262) as single dose for covid-19 immunisation. Medical history included raynaud's phenomenon from 1992 and ongoing, chronic obstructive pulmonary disease from 1998 and ongoing, anaemia from 1986 and ongoing, renal transplant from 2014 to an unknown date, stated it started during chemo in 1986 and comes and goes but he never gets better than borderline; states since his kidney transplant it happens less, lymphoedema from 2010 and ongoing, hypertension from 2000 and ongoing, ongoing dry mouth, stated he has had his whole life because of Sjogren's, mycobacterium chelonae infection from 2014 to an unknown date, stated it was a cousin to Leprosy and a type of TB. Stated the infectious disease doctors presented his case to the CDC and he was on antibiotics for 2 months to get rid of that, one cost $5000/day. States he was getting cellulitis in both legs every week until they took care of that, sleep apnoea syndrome from 1998 and ongoing, ongoing peripheral venous disease, blood clot in lung and DVT in leg, stated he has thrown blood clots that lodged in his lung and had a DVT in his right leg--during chemotherapy, gout from 2005 and ongoing, advanced neuropathy and ongoing, advanced neuropathy all over his body for 25 years. Stated he has had finger nails torn out and it doesn't hurt. Leg ulcer from: 1987 and ongoing, reoccurring leg ulcers mainly around his ankles. Stated his skin was so thin that it breaks open and  forms ulcers. States he got out of the hospital in Nov 1986 and they showed up next summer 1987. States he has been wearing compression support hose since 1988 all the time, ongoing Sjogren's syndrome, Sjogren's Syndrome which is a lesser degree of Lupus. States he has had it for 6 years. States the clinic missed it on him. States he was diagnosed in the air force and it has advanced now to the point that they are calling it Lupus like. State he is a 100% disabled. Caller states he had a kidney transplant in 2014 and he has been on immunosuppressant drugs for 18 years. Mainly Prednisone, CellCept and Tacrolimus. Historical vaccine included BNT162B2, Lot: EK4176, on 13Jan2021 for COVID-19 immunization. Concomitant medication(s) included prednisone taken for transplant suppression and sjogren's from 1998 and ongoing; allopurinol taken for gout and ongoing; amlodipine taken for raynaud's phenomenon; bisacodyl (DULCOLAX [BISACODYL]) taken for an unspecified indication and ongoing; hydrofluoric acid (HYDROFLUORIC ACID) taken for moisturizing legs for skin and ongoing; losartan taken for hypertension and ongoing; magnesium oxide taken for supplement magnesium levels are low and ongoing; mycophenolate mofetil (CELLCEPT [MYCOPHENOLATE MOFETIL]) taken for Kidney Transplant Suppression and Sjogren's for 18-20 years and ongoing; rosuvastatin taken for blood cholesterol abnormal and ongoing; tacrolimus taken for kidney suppression anti rejection and ongoing; tiotropium bromide (SPIRIVA) taken for lung problems copd; states he has had 8 pneumonias and bronchitis and ongoing; valaciclovir (VALACICLOVIR) taken for outbreaks of shingles in mouth herpes simplex and ongoing; vitamin d ongoing; vitamin b12 taken for supplementation, ongoing.  The patient experienced positive covid test on 27Mar2021 11:00 with outcome of recovering, not sleeping on that shoulder on an unspecified date with outcome of unknown , head congestion on an unspecified date with outcome of unknown, sinus infection on an unspecified date with outcome of recovered, bronchitis on an unspecified date with outcome of unknown. Stated he had his second shot on 3Feb2021 and on 27Mar2021, he was diagnosed with Covid. Caller stated on Saturday 27Mar2021, when they found out, the emergency room was really startled [that he tested positive for Covid after being fully vaccinated] and the hospital is a good size. Stated he was the first person that has been fully vaccinated that has caught Covid at the hospital. States he may have caught the virus earlier. States it started with head congestion that lead to a sinus infection and he was put on a Z-pack. States the sinus infection went away but he started having lung trouble so he went back and they said he had bronchitis, his lungs looked fine, and they put him on a different antibiotic. States they said lets do a Covid swab to make sure but they really doubt he would have it and the Covid test came back positive and boy were they surprised. Clarifies the antibiotic didn't work on the Covid. States it was Levofloxacin, dosage unknown. States the Hosptial is normally good about putting the dose on there but they didn't put the dosage and they kept the bottle at the emergency room on Saturday. Caller states that he is also on these other medications; however he doesn't think they were taken within the 2 weeks before the vaccines. Acetaminophen as needed, albuterol as needed, Refresh Eye Drops as needed, Guaifenesin as needed uses when he gets a chest cold and gets them fairly often, and Sudafed as needed. States a surgeon once told him he had the worst bronchitis that he has seen in his career. States he has had a collapsed lung. States during therapy they were putting in a subclavian line and nicked his lung. States boy does that hurt getting a line put in. Caller states he had a kidney transplant in 2014 and he has been on immunosuppressant drugs for 18 years. Mainly Prednisone, CellCept and Tacrolimus. Treatment was gaving him a boost of dexamethasone, simply relying on the vaccine to help him get better. States he had no adverse reactions, other than not sleeping on that shoulder, that is all he had. Emergency Room visited on Saturday 27Mar2021 and 23Mar2021. States they did X-rays and blood tests and that is when they told  him on 23MAR2021 that he had Bronchitis and sent him home on the antibiotic. The patient underwent lab tests and procedures which included blood test: unknown result on 23Mar2021, sars-cov-2 test: positive, x-ray: unknown result on 23Mar2021. Therapeutic measures were taken as a result of positive covid test, sinus infection, bronchitis.