Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Blood test, COVID-19, Drug ineffective, Echocardiogram, Interchange of vaccine products
Clinical narrative: chills; fatigue; nightmares; sweats; mild dyspnea; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 63-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), in Nov2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; oseltamivir phosphate (TAMIFLU), (ongoing) (Batch/Lot number: unknown); cefdinir (CEFDINIR), (ongoing) (Batch/Lot number: unknown) at 300 mg for infection. The patient's relevant medical history included: "immune disorder" (unspecified if ongoing), notes: IgG deficiency; "Blood pressure high" (unspecified if ongoing); "Infection" (unspecified if ongoing); "Heart disease" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: BNT162b2 (DOSE 3 (BOOSTER), SINGLE; Lot number: unknown), administration date: 12Sep2021, when the patient was 62-year-old, for COVID-19 immunization; Moderna covid-19 vaccine (DOSE 1, SINGLE; Lot number: unknown), administration date: 2021, for COVID-19 immunization; Moderna covid-19 vaccine (DOSE 2, SINGLE; Lot number: unknown), administration date: 2021, for COVID-19 immunization; Hepatitis vaccine (when they found out he had an congenital immune deficiency.), reaction(s): "vaccination failure". The following information was reported: CHILLS (non-serious) with onset 05Dec2022, outcome "not recovered"; FATIGUE (non-serious) with onset Dec2022, outcome "not recovered"; DYSPNOEA (non-serious) with onset Dec2022, outcome "not recovered", described as "mild dyspnea"; NIGHTMARE (non-serious) with onset Dec2022, outcome "not recovered", described as "nightmares"; HYPERHIDROSIS (non-serious) with onset Dec2022, outcome "not recovered", described as "sweats". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of chills, fatigue, nightmare, hyperhidrosis, dyspnoea.  Additional information: On 05Dec2022 he felt an itchy nose, then runny nose, then body aches, chills, and on 07Dec2022 he went to see his primary physician and he had a 101 F fever and really strong pain, he has an immune disorder (IgG deficiency) as well, that's why he had it so strong. He had a home test; he was prescribed antibiotics. On 07Dec2022 11:00 am, he used the test and was positive. He called his doctor again and they prescribed Paxlovid. He took the first dose of Paxlovid 07Dec2022 4:30 pm, symptoms still progressing but getting better, by the 3-4 dose he started to feel better. By the end of the treatment, he felt remarkedly better. He was currently taking Tylenol and Advil, for the leftover symptoms, mostly fever and body ache. But one of this days 14Dec2022, he started to feel worse, and performed a test, and came back positive, but according to physician it was expected as he had an immune disorder. At the moment he was suffering from chills, sweats, nightmares, fatigue and mild dyspnea. Paxlovid side effects were diarrhea and bad taste, dark colored stool, not black, but very brown, 5 times a day, and right now only 2 times per day. He also had a previous case of vaccination failure with the Hepatitis vaccination, when they found out he had a congenital immune deficiency. Consumer asked for a callback because he needed to look for the lot numbers and dates and he wants to be contacted by phone. He started taking Paxlovid on Wednesday about 4:30. He stated that he took his fourth dose this morning and he was reporting that he had diarrhea and a bad tasted in his mouth. He also mentioned that he was taking Tamiflu and Cefdinir. Patient state that he didn't even know that the end point of this study was to basically keep you out of the hospital, it was not really to make you from negative on the testing (Further clarification unknown). That was the concern that he had. He was on two other medications. One of the antibiotics was called Cefdinir, 300 mg antibiotic. The other medication was Tamiflu. The reason for that was even though he was taking those two, he had congestive before (further clarification unknown). The antibiotic Cefdinir had been numb to do this to him (event captured conservatively) because he had infections. He doesn't really think it's the Paxlovid but the taste is definitely because of the Paxlovid because it came after that. The diarrhea usually came 3-4 hours after when he took the Cefdinir.  The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.