Age: 52.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test, Staphylococcal infection
Clinical narrative: Staph infection in his nose again, has a split in the right nasal passage; He has extremely high viral load as of 17-FEB-2024, has contracted Omicron subvariant BAA on 25-JAN-2024 and tested positive on 26-JAN-2024; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (He has extremely high viral load as of 17-FEB-2024, has contracted Omicron subvariant BAA on 25-JAN-2024 and tested positive on 26-JAN-2024) and STAPHYLOCOCCAL INFECTION (Staph infection in his nose again, has a split in the right nasal passage) in a 52-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis.    Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for an unknown indication.    Previously administered products included for Drug use for unknown indication: Pfizer vaccine bivalent. Past adverse reactions to the above products included No adverse event with Pfizer vaccine bivalent. Concurrent medical conditions included Nonsmoker (Patient does not smoke cigarettes, but used to over 2.5 years ago.), Vitiligo and Abstains from alcohol.   On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and third dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) 1 dosage form. On 26-Jan-2024, the patient experienced COVID-19 (He has extremely high viral load as of 17-FEB-2024, has contracted Omicron subvariant BAA on 25-JAN-2024 and tested positive on 26-JAN-2024). On an unknown date, the patient experienced STAPHYLOCOCCAL INFECTION (Staph infection in his nose again, has a split in the right nasal passage). The patient was treated with CEFALEXIN (KEFLEX [CEFALEXIN]) (oral use) for Staphylococcal infection, at a dose of 500 milligram every six hours. At the time of the report, COVID-19 (He has extremely high viral load as of 17-FEB-2024, has contracted Omicron subvariant BAA on 25-JAN-2024 and tested positive on 26-JAN-2024) and STAPHYLOCOCCAL INFECTION (Staph infection in his nose again, has a split in the right nasal passage) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Jan-2024, SARS-CoV-2 test: Positive.     For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   No concomitant medication was reported.  Patient stated his first two Moderna monovalent vaccines worked, but his third Pfizer vaccine bivalent didn't work. In the last year and a half, had omicron and omicron subvariant BAA twice. He was dissatisfied with Pfizer. He tried Viagra once and almost had a heart attack. He refused to get discharged until he receives Spikevax. He was currently in the ICU at hospital, and he had extremely high viral load as of 17-FEB-2024, has contracted Omicron subvariant BAA on 25-JAN-2024 and tested positive on 26-JAN-2024. Patient stated he also had the Moderna bivalent booster shot which was effective. Patient stated he was also taking Keflex because of a staph infection due to his high viral. Agent requested we clarify previous vaccination history. Patient stated he had 2 monovalent Moderna vaccines, and a Moderna bivalent booster vaccine. He did not currently know the dates he received them, but he started the process 3.5 to 4 years ago, so his mRNA waned over time. He had an autoimmune disease vitiligo. Had a Pfizer bivalent vaccine about 2 years ago. A nurse administered the vaccine to him using an insulin syringe, which he thought was inappropriate. Agent clarified that caller was calling from ICU at Medical Centre. He came in for a knee injury from carrying heavy baggage, he sprained his knee, but then they saw his viral load was extremely high and still detectable. Staph infection in his nose again, has a split in the right nasal passage. Done many blood tests. Sober for 7 years. Agent asked to clarify when he was diagnosed with COVID, he said 3 days ago. He said he had a minor left ear infection, was refused antibiotic ear drops, and now had a staph infection in his nose.   This case was linked to MOD-2024-761315 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 22-Feb-2024: Live follow-up has been appended and reference number updated.