Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Drug ineffective, Interchange of vaccine products, SARS-CoV-2 test
Clinical narrative: Tested positive for Covid; Tested positive for Covid; Patient took dose 1, dose 2 and dose 3 moderna vaccine; This is a spontaneous report received from contactable reporter(s) (Nurse).  A 73-year-old male patient received BNT162b2 (BNT162B2), as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; elasomeran (MODERNA COVID-19 VACCINE), as dose 1, single (Batch/Lot number: unknown), as dose 2, single (Batch/Lot number: unknown) and as dose 3 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "High cholesterol" (unspecified if ongoing). Concomitant medication(s) included: ROSUVASTATIN oral taken for blood cholesterol increased (ongoing).  The following information was reported: INTERCHANGE OF VACCINE PRODUCTS (medically significant) with onset Apr2022, outcome "unknown", described as "Patient took dose 1, dose 2 and dose 3 moderna vaccine"; DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset Apr2022, outcome "unknown" and all described as "Tested positive for Covid". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (Apr2022) Positive; (16Oct2022) Positive. Therapeutic measures were taken as a result of drug ineffective, covid-19, interchange of vaccine products.  Clinical course: Patient tested positive for Covid-19 for the 2nd time and patient was previously treated with Paxlovid and needs a 2nd course of Paxlovid. 2nd course of Paxlovid, patient's 1st diagnosis was in Apr. Caller and patient both had Covid following a family funeral and were both treated with Paxlovid, miracle drug. Patient had a positive test on Sunday, tried calling in the prescription for another course of Paxlovid and was told patient could not be prescribed Paxlovid a 2nd time. Caller asked doctor why that Paxlovid could not be prescribed a 2nd time. Doctor said didn't know, first time doctor had heard that, and doctor would need to track down that information. Caller went online to find something and couldn't find anything saying that Paxlovid couldn't be prescribed more than once, just said don't take Paxlovid for more than 5 consecutive days, but this is an isolated event, it has been since Apr that patient took Paxlovid. Caller needs to go to the pharmacy, so caller was going to question the pharmacist about this. Caller and patient are both vaxed and boosted, caller clarified caller and patient both had 2 doses of the original vaccination and the 2 boosters that were recommended after that and caller and patient both planned on getting the new booster or new vaccine, clarified the bivalent vaccine, at the end of this month or beginning of next month when getting flu shots. Upon further clarification caller clarified that patient got the Moderna anti-Covid vaccine for the 2 original doses, then got the 1st booster, which was the Moderna anti-Covid vaccine, then got the 2nd booster which was the Pfizer anti-Covid vaccine. Confirmed vaccinations were prior to testing positive for Covid. Tested positive for Covid the 1st time in Apr2022. Tested positive for Covid the 2nd time this past Sunday. Patient got the Moderna anti-Covid vaccine for the 2 original doses, then got the 1st booster which was the Moderna anti-Covid vaccine. Doesn't have a complete list of medications, patient is generally very healthy, takes rosuvastatin. Can't wait to get to the pharmacy to see if there is a reason Paxlovid could not be prescribed a 2nd time, curious, also thinking Covid is not going to go away in caller's opinion, so if people can only be treated once with Paxlovid that is a frightening proposition to be in considering caller and patient's age. Got the Moderna anti-Covid vaccine for the 2 original doses, then got the 1st booster, which was the Moderna anti-Covid vaccine, then got the 2nd booster which was the Pfizer anti-Covid vaccine. Tested positive for Covid the 1st time in Apr2022. Tested positive for Covid the 2nd time this past Sunday.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.