Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 antibody test positive, SARS-CoV-2 test, Vaccination failure
Clinical narrative: Thrush; Throat and neck pain; Throat and neck pain; She had chest pain. It radiated up to her neck, jaw, and ear; She had chest pain. It radiated up to her neck, jaw, and ear; She had chest pain. It radiated up to her neck, jaw, and ear; Acid reflux attack; Muscle spasm; Pain; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP), Program ID:  The reporter is the patient.  A 50-year-old female patient received BNT162b2 (BNT162B2), on 18Feb2022 as dose 3 (booster), single (Batch/Lot number: unknown) at the age of 50 years, in left arm for covid-19 immunization. The patient's relevant medical history included: "GERD" (unspecified if ongoing), notes: Has a history of GERD and throat reflux; "Throat reflux" (unspecified if ongoing), notes: Has a history of GERD and throat reflux. There were no concomitant medications. Vaccination history included: BNT162b2 (Dose: 1, Lot number: EW0169), administration date: 15Apr2021, when the patient was 49-year-old, for COVID-19 Immunization, reaction(s): "COVID-19"; BNT162b2 (Dose: 2, Lot: EW0185), administration date: 14May2021, when the patient was 49-year-old, for COVID-19 Immunization, reaction(s): "COVID-19". The following information was reported: GASTROOESOPHAGEAL REFLUX DISEASE (non-serious) with onset 2022, outcome "unknown", described as "Acid reflux attack"; MUSCLE SPASMS (non-serious) with onset 2022, outcome "unknown", described as "Muscle spasm"; PAIN (non-serious) with onset 2022, outcome "unknown"; EAR PAIN (non-serious), CHEST PAIN (non-serious), PAIN IN JAW (non-serious) all with onset 2022, outcome "unknown" and all described as "She had chest pain. It radiated up to her neck, jaw, and ear"; NECK PAIN (non-serious), OROPHARYNGEAL PAIN (non-serious) all with onset 2022, outcome "unknown" and all described as "Throat and neck pain"; CANDIDA INFECTION (non-serious) with onset 2022, outcome "unknown", described as "Thrush". The events "thrush", "throat and neck pain", "she had chest pain. it radiated up to her neck, jaw, and ear", "acid reflux attack", "muscle spasm" and "pain" required physician office visit and emergency room visit. Therapeutic measures were taken as a result of candida infection, neck pain, oropharyngeal pain, ear pain, chest pain, pain in jaw, gastroesophageal reflux disease, muscle spasms, pain.  Additional information: She is calling in regards to Paxlovid. She mentioned she started it yesterday however there was a nasty taste in mouth last night after taking Paxlovid. She wanted to know if she should keep taking or not. The caller confirmed the details provided by the transferring agent. When she got diagnosed with COVID, she called 311 , and they sent her right over to pharmacy in (City withheld). They prescribed it to her not her medical primary doctor. Prescriber information: unknown. She took a dosage of 3 pills at 9 am yesterday, and then took it again last night at 10pm. Nasty taste in mouth: started yesterday during the day. At that time it was only a little, but last night around 3 am it got bad. The Taste she can't get rid of but it has lightened right now. Treatment: drinking fluids and gargle with Listerine and brushed teeth and tongue. It helped a little, but then it got a little worse. She then drank alkaline water which soothed it more. She was able to go back to sleep. She woke up again around 5 am with that taste again. She tried to ignore it. She kept drinking water. Coffee helped, but the taste is coming back. It is not as bad as 3 am. She has to take a picture of the Paxlovid information because the numbers are so small. She can give numbers, but has to take a picture first. The companies always do crazy stuff to make it where people can't find the information asked. Like they put it on the silver part where people with light eyes can't see it. She has to use a magnifying glass and all. lot: FY7081. It could be a 3 . She is so bad looking at these things. Expiry date: Jan2023. She hasn't taken it yet today. She is wondering if it is necessary to continue to take it or let it be. On 10May2022, she had a rapid test that was positive for COVID. Her PCR was positive too. She was fully boosted as well. COVID vaccine history: All Pfizer: first vaccine: Pfizer given at (Facility withheld) on 15Apr2021, lot number: EW0169, second vaccine: given on 14May2021, lot: EW0185 in (Facility withheld), Booster: given on 18Feb2022, lot: FL6369 or FJ6369. On 10May2022, she had a rapid test that was positive for COVID. Her PCR was positive too. Two weeks ago she was diagnosed with thrush. She had throat and neck pain right after her COVID booster . It was a few days later after the COVID booster. She had chest pain. It radiated up to her neck, jaw, and ear. Every day she was going through it. She would take Tylenol for it, but it was not helping much. She doesn't have the NDC/lot/expiration for the Tylenol. She also tried Motrin. To try to figure out which would work best. She went to the Emergency room because she was nervous it could be her heart. They said she was having a muscle spasm and an acid reflux attack. She has a history of GERD and throat reflux. She just hasn't been on medication for it. Since she was boosted and everything. She took Tylenol and Pepcid AC. She just takes it here and there. It was necessary. She definitely took it when she was in pain. She is on medication for that thrush too now. The day she was diagnosed on a rapid was on Tuesday , and she saw her doctor then. She had to get a doctor's note saying she was positive for COVID so she could get COVID pay. Patient's Medical History (including any illness at time of vaccination): Provide other relevant medical history including but not limited to these conditions: diagnosed allergies, compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity: no. Relevant Tests: List other relevant diagnostic and confirmatory test results for event(s), for example, from blood tests, cerebrospinal fluid culture, bacterial sero-type, diagnostic imaging, (e.g., chest X-ray, MRI): no. She would take Tylenol for chest pain that radiated up her neck and jaw, but it was not helping much. She doesn't have the NDC/lot/expiration for the Tylenol. The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.