Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Body height, Body temperature, COVID-19, SARS-CoV-2 test, Vaccination failure
Clinical narrative: Tested positive for COVID after receiving vaccines; Tested positive for COVID after receiving vaccines; This is a spontaneous report received from a contactable reporter (Consumer or other non HCP) from product quality group. The reporter is the patient.  A 76-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 09Oct2022 as dose 5 (booster), single (Batch/Lot number: unknown) at the age of 75 years for covid-19 immunisation; BNT162b2 (BNT162B2), on 05Mar2021 as dose 1, single (Lot number: ER8733), on 27Mar2021 as dose 2, single (Batch/Lot number: unknown), on 14Oct2021 as dose 3 (booster), single (Batch/Lot number: unknown) and on 02May2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "High blood pressure" (ongoing), notes: after started working as a graphics manager and under a lot of pressure; 30 or 40 years. Concomitant medication included: ATORVASTATIN CALCIUM taken for hypertension. Past drug history included: Cipro, notes: 20 years ago; because he was exposed to anthrax and Cipro was a pretty hefty pill. The following information was reported: VACCINATION FAILURE (medically significant) with onset 03Feb2023, outcome "unknown", COVID-19 (medically significant) with onset 03Feb2023, outcome "not recovered" and all described as "Tested positive for COVID after receiving vaccines". The patient underwent the following laboratory tests and procedures: Body height: (unspecified date) about 6 feet, maybe less; had been shrinking; Body temperature: (11Feb2023) fever of 99 or 99.8, notes: on Saturday; SARS-CoV-2 test: (unspecified date) Negative, notes: and then was negative even on the Friday after treatment; (unspecified date) Positive, notes: then Saturday had a little chills again and tested positive again; (unspecified date) Positive, notes: Tuesday, and tested positive; (03Feb2023) Positive, notes: positive on Friday morning; (07Feb2023) Negative, notes: On the 5th day of treatment, he tested negative; (08Feb2023) Negative; (10Feb2023) Negative; (11Feb2023) Positive, notes: test that night was positive; Weight: (unspecified date) about 183, notes: pounds. Therapeutic measures were taken as a result of covid-19, which included Paxlovid (NDC number: 0069-0345-30) from 03Feb2023 to 08Feb2023, 3 (dosage form: big pills) in the morning and 3 in the evening. Clinical course: The patient was vaccinated, because he was old. The patient was prescribed Paxlovid because he came down with COVID-19. He had symptoms the day before being prescribed Paxlovid like fever and then tested positive on Friday morning, 03Feb2023. His healthcare provider (HCP) prescribed Paxlovid from Friday afternoon, 03Feb2023, and he took first dosage that evening and went through whole rigor of tablets for 5 days. On the 5th day of treatment, he tested negative, and then was negative even on the Friday after treatment, then Saturday had a little chills again and tested positive again. He had Paxlovid rebound. He had all the vaccines, clarified he had 3 of Pfizer's vaccines and two booster shots. The patient tested himself that morning, Tuesday, and tested positive. Fever was gone, had an appetite, lost taste and smell. The patient took Nyquil at night. The patient was told that once he took Paxlovid, he couldn't take it again. The patient tested positive for COVID after receiving vaccines; clarified he tested positive for COVID-19 on Friday, 03Feb2023. He had started having chills and then did a COVID-19 test again. The patient started Paxlovid Friday evening. He further clarified that he woke up Friday morning and didn't feel well after going to bed Thursday night; feeling achy and didn't sleep well. When he woke up Friday, he had a headache, fever, chills, got up around 7 or 8 am, did a COVID-19 test and came up positive 03Feb2023. The patient called his HCP around 9 am. The HCP called back and set him up with Paxlovid. The HCP said Paxlovid should make him feel better in about 2 days. The patient clarified he had started feeling better on 06Feb2023, tested negative for COVID-19 on 08Feb2023 and 10Feb2023. Then on Saturday, he started feeling chills, had a little fever of 99 or 99.8 and took a COVID-19 test that night on 11Feb2023 and was positive. At the time of the report, he had a good appetite, fever broke that morning. On 14Feb2023, his HCP wanted to have him come in, wear a mask, and to have some routine bloodwork. The patient felt fine. He clarified that he still had congestion and was trying to loosen it more but didn't have a fever. The patient had to take Cipro, because he was exposed to anthrax and Cipro was a pretty hefty pill. He clarified he was not exposed to anthrax, but was living near the area where postal workers were taking Cipro; it happened over 20 years prior reporting. The patient still wore a mask, must have touched something. His HCP told him to not take atorvastatin while on Paxlovid. He stopped taking Atorvastatin while on Paxlovid and had restarted taking it again since he stopped Paxlovid on Wednesday.  The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5, BNT162b2 has been requested and will be submitted if and when received.