Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature, COVID-19, Heart rate, Oxygen saturation, SARS-CoV-2 test
Clinical narrative: tested positive for covid; tested positive for covid; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 54-year-old male patient received BNT162b2 (BNT162B2), on 02Mar2021 as dose 1, single (Lot number: CN6200), on 23Mar2021 as dose 2, single (Lot number: ER2613) and on 01Dec2021 as dose 3 (booster), single (Lot number: FH8030) at the age of 53 years for covid-19 immunisation. The patient's relevant medical history included: "Allergy" (unspecified if ongoing); "Allergic to Latex" (unspecified if ongoing); "semi high blood pressure" (unspecified if ongoing); "major back surgery", start date: 20Oct2006 (unspecified if ongoing); "disability" (unspecified if ongoing); "overweight 360 lbs" (unspecified if ongoing); "Pain" (unspecified if ongoing). Concomitant medication(s) included: TRULICITY; LISINOPRIL; OMEGA 3 FISH OIL [FISH OIL]; EZETIMIBE; ALPRAZOLAM; HYDROCODONE taken for pain. Past drug history included: Morphine, reaction(s): "Allergy"; Dilauded, reaction(s): "Allergy". The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 18Jul2022, outcome "unknown" and all described as "tested positive for covid". The patient underwent the following laboratory tests and procedures: Body temperature: (Jul2022) 97, notes: degrees Fahrenheit; Heart rate: (Jul2022) from 76 to 135; (Jul2022) 100; Oxygen saturation: (Jul2022) 97 %; SARS-CoV-2 test: (20Jul2022) positive, notes: tested positive for covid. Therapeutic measures were taken as a result of vaccination failure, covid-19. The report was not related to a study or programme. The reporter stated that he tested positive for covid, he went outside on the 14Jul2022, and came back ob 18Jul2022 Monday, he started feeling itchy in his throat and on 20Jul2022 Wednesday, he took a test, the abbot laboratory covid at home test and it was positive. The patient's wife and him fully vaccinated, both tested positive. His wife tested positive on 25Jul2022. The reporter stated that he was on disability too.  Concomitant Medication: Trulicity he took was once a week on Sunday at 3pm, it was the lowest dose they had, he got dispensed 3 boxes a month, with 4 pens per box, the dose was 0.75mg/0.5ml once a week. He was trying to find the lot number on the box, he would get it from the Pen, he provided Lot number: D509846A, Expiry date: 01Feb2024. This morning he had Lisinopril and nothing else, he didn't want to take the omega 3, but he did take a cholesterol medicine called ezetimibe 10mg 1 every morning. The patient was also prescribed alprazolam 2mg as needed. The patient was also on a pain medication Hydrocodone 10-325 mg as needed. Medical Conditions: The patient was not sure but he thought he had prostate cancer or it might be enlarged prostate he would find out at his next appointment on 09Aug2022. The patient had semi high blood pressure, he used to be way overweight 360 lbs but he lost weight, he has had major back surgery on 20Oct2006, it was a 360 fusion. Since he lost weight his breathing had improved. The patient was prescribed nirmatrelvir; ritonavir (PAXLOVID).