Sex: M
Vaccine: COVID19
Symptoms: Viral load, Wrong technique in product usage process
Clinical narrative: staph infection; has a split in the right nasal passage; minor left ear infection; administered the vaccine to him using an insulin syringe; This is a spontaneous report received from a Consumer or other non HCP. Other Case identifier(s): MOD-2024-761315 (Moderna), MOD-2024-761316 (Moderna).  A 52-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), in 2022 as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Vitiligo" (unspecified if ongoing), notes: He has an autoimmune disease vitiligo; "Smoking cessation" (unspecified if ongoing), notes: Does not smoke cigarettes, but used to over 2.5 years ago. The patient's concomitant medications were not reported. Vaccination history included: Moderna vaccine (Dose 1, Single), for COVID-19 Immunization; Moderna vaccine (Dose 2, Single), for COVID-19 Immunization. The following information was reported: WRONG TECHNIQUE IN PRODUCT USAGE PROCESS (non-serious) with onset 26Jan2024, outcome "unknown", described as "administered the vaccine to him using an insulin syringe"; NASAL DISORDER (life-threatening, hospitalization) with onset 26Jan2024, outcome "unknown", described as "has a split in the right nasal passage"; EAR INFECTION (non-serious) with onset 26Jan2024, outcome "unknown", described as "minor left ear infection"; STAPHYLOCOCCAL INFECTION (life-threatening, hospitalization) with onset 26Jan2024, outcome "unknown", described as "staph infection". The patient underwent the following laboratory tests and procedures: Blood test: (unspecified date) Unknonwn results; SARS-CoV-2 test: (26Jan2024) positive; Viral load: (17Feb2024) high viral load. Therapeutic measures were taken as a result of staphylococcal infection. Additional information: The patient wants Spikevax 2023-2024 immediately. He refuses to get discharged until he receives Spikevax. The patient states his first two Moderna monovalent vaccines worked, but his third Pfizer vaccine bivalent didn't work. In the last year and a half, the patient had omicron and omicron subvariant BAA twice. He is dissatisfied with Pfizer. He tried Viagra once and almost had a heart attack. Patient wants Spikevax 2023-2024 immediately. He refuses to get discharged until he receives Spikevax. He is currently in the ICU and he has extremely high viral load as of 17Feb2024, has contracted Omicron subvariant BAA on 25Jan2024 and tested positive on 26Jan2024. Patient stated he also had the Moderna bivalent booster shot which was effective. Patient states he is also taking Keflex 500mg PO Q6H because of a staph infection due to his high viral load (then set the phone down to take his meds during nurse rounds). Agent requested we clarify previous vaccination history. Patient stated he had 2 monovalent Moderna vaccines, and a Moderna bivalent booster vaccine. He does not currently know the dates he received them, but he started the process 3.5-4 years ago so his mRNA waned over time. A nurse administered the vaccine to him using an insulin syringe, which he thought was inappropriate. Agent clarified that caller is calling from ICU at #. 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. Also taking Keflex 500mg PO Q6H for a staph infection. Staph infection in his nose again, has a split in the right nasal passage. Done many blood tests. Sober for 7 years. Does not smoke cigarettes, but used to over 2.5 years ago. Agent asked to clarify when he was diagnosed with COVID, he said 3 days ago, 17Feb2024. The patient said he had a minor left ear infection, was refused antibiotic ear drops and now has a staph infection in his nose. He believes it is medical malpractice, he played his part as a patient. Patient was also dispensed Paxlovid through Institution name in Name , per his request when he contracted Omicron in Dec2021. He was diagnosed around 01Dec. It was a 5 day packet. It worked, got rid of his migraine headaches and runny nose after 7 days. He had previously received the first 2 Moderna monovalent and then Moderna booster shot.  The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 will be requested and submitted if and when received.; Sender's Comments: Linked Report(s): US-PFIZER INC-PV202400028589 same patient, different dose and event;