Sex: U
Vaccine: COVID19
Symptoms: COVID-19, Heart rate, Streptococcus test
Clinical narrative: On 23-Apr-2024, the patient again tested COVID-19 positive after paxlovid treatment; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (On 23-Apr-2024, the patient again tested COVID-19 positive after paxlovid treatment) in a patient of an unknown age and gender who received mRNA-1273.815 (SPIKEVAX 2023-2024) (batch no. AU3914B) for COVID-19 prophylaxis.    Co-suspect product included non-company product NIRMATRELVIR, RITONAVIR (PAXLOVID) for an unknown indication.    The patient's past medical history included Sickness (got sick in 2020) in 2020. Previously administered products included for COVID-19 prophylaxis: Moderna (Dose 1) on 05-Jan-2021, Moderna (Dose 2) on 02-Feb-2021, Moderna (Dose 3) on 12-Nov-2021 and Moderna (Dose 4) in September 2022. Past adverse reactions to the above products included No adverse event with Moderna, Moderna, Moderna and Moderna. Concurrent medical conditions included Tachycardia (diagnosed several years ago.) since 2022 and Asthma since 2022. Concomitant products included TIOTROPIUM BROMIDE MONOHYDRATE (SPIRIVA RESPIMAT) for Asthma, INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) and DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN (MUCINEX DM) for an unknown indication.   On 19-Oct-2023, the patient received fifth dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. On 15-Apr-2024, the patient started NIRMATRELVIR, RITONAVIR (PAXLOVID) (unknown route) take 3 by mouth two times a day for 5 days. On 23-Apr-2023, the patient experienced COVID-19 (On 23-Apr-2024, the patient again tested COVID-19 positive after paxlovid treatment). The patient was treated with VITAMIN C [ASCORBIC ACID] at an unspecified dose and frequency; ZINC at an unspecified dose and frequency and VITAMIN D NOS at an unspecified dose and frequency. At the time of the report, COVID-19 (On 23-Apr-2024, the patient again tested COVID-19 positive after paxlovid treatment) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 15-Apr-2024, COVID-19: Positive. On 15-Apr-2024, Streptococcus test: Negative. On 23-Apr-2024, COVID-19: Positive. On an unknown date, Heart rate: going up and down.         The patient had to get on two inhalers and nebulizer machine every 4 hours all at home. Basically, the ambulance was constantly at house because heart rate was going up and down and all that. It took until 2022 to feel better and it left with diagnoses of asthma and tachycardia after going through all that. After completing Paxlovid treatment on 19-Apr-2024 patient felt better. Then by Saturday night started to feel awkward again. On Sunday patient felt horrific and felt like going backwards. The patient was eating healthy. The day before call patient cannot keep anything down when eats or drinks anything. It was reported as patient experienced lot of sneezing and mucus, phlegm, feeling exhausted and feels like was run over. On 23-Apr-2024, tested positive for covid-19. Prior symptoms for COVID-19 were sore throat, stuffy nose but, left hand and right foot became numb for few minutes as patient could not move them at all. The patient almost fell when got up and, that same day all the symptoms of COVID started pilling up. The patient put call on mute when need to cough.  At the time of report patient was eating probably once a day and trying to keep food down. The patient tried to get up and almost felt so could not get up from chair and felt like was going to fall and sat back down.