Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Drug ineffective, SARS-CoV-2 test
Clinical narrative: tested positive for COVID/Tested Positive for COVID 19; tested positive for COVID/Tested Positive for COVID 19; This is a spontaneous report from a contactable consumer (patient's husband). A 76-years-old female patient received the second dose of BNT162B2 Pfizer-BioNTech COVID-19 mRNA Vaccine (BNT162B2), via an unspecified route of administration, administered at the rehabilitation center in left arm on 28Apr2021, at 76 years of age, probably around 10:00 am (Batch/Lot number was not reported) as single dose for COVID-19 immunization. Medical history included hip fracture after a fall from 05Apr2021 and ongoing, which required patient's hospitalization from 5Apr2021 to 10Apr2021 and a surgery (see cross-referenced case AER # 2021497286) and diabetes. She was currently in rehabilitation center and was improving. Historical vaccine included the first dose of BNT162B2 Pfizer-BioNTech COVID-19 mRNA Vaccine on 18Mar2021 (lot number ER2613) at about 10:00 in the morning administered in her left arm. The second dose was 6 weeks later because she was unavailable for the second dose, which was then administered at the rehabilitation center. Concomitant medications included metformin for diabetes mellitus from an unspecified date (she has been taking this for probably 10 years or more) and ongoing; paracetamol (TYLENOL) taken for pain from an unspecified date and ongoing; potassium chloride taken for an unspecified indication, start and stop date were not reported; lisinopril taken for blood pressure abnormal from an unspecified start date and ongoing; valproate semisodium (DIVALPROEX ER) taken for manic depression, start and stop date were not reported; furosemide (FUROSEMIDE ACCORD) taken for an unspecified indication, start and stop date were not reported; nitrofurantoin (NITROFURANTOIN MONO/MAC) taken for an unspecified indication (the reporter said the patient has been taking this medication for quite a while, she has diarrhea problems off and on, he thinks), start and stop date were not reported; levothyroxine taken for an unspecified indication from an unspecified start date and ongoing; levothyroxine sodium (EUTHYROX) taken for an unspecified indication (reporter thinks for diabetes) from an unspecified start date, about 7 or 8 years before, and ongoing; alendronate sodium taken for an unspecified indication, start and stop date were not reported and Vitamin D taken for an unspecified indication from an unspecified start date, 2 or 3 months before, and ongoing. It was reported that at the rehabilitation center they check patients 2 to 3 times a week for COVID so the patient got a routing check and, on 30Apr2021, she was tested positive for COVID-19, but she had no symptoms. They are going to take the test again with the swab. The patient underwent lab tests and procedures which included SARS-CoV2 test (nasal swab): positive on 30Apr2021. The reporter said his wife said there are a few more patients that have COVID at the hospital and he doesn't know if it is spreading. The event outcome was unknown at the time of the report.  Information on the lot/batch number has been requested.