Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Influenza virus test, SARS-CoV-2 test
Clinical narrative: positive COVID-19 test with symptoms; This is a spontaneous report from a contactable consumer (patient). A 74-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection; Lot number: EN9581) via an unspecified route of administration on 01Feb2021 at 15:00 (at the age of 74-years-old) as a single dose in the left arm for COVID-19 immunisation. Medical history and concomitant medications were both reported as none. The patient did not receive any vaccinations within 4 weeks of the COVID-19 vaccine. The patient did not receive any additional vaccines on the same date as the COVID-19 vaccine. Family medical history was not provided. It was reported that the patient received his first vaccine dose on 01Feb2021 and was diagnosed with COVID-19 on 07Feb2021. The event required a visit to an urgent care center. The clinical course was reported as follows: "The patient received his first Pfizer COVID-19 vaccine shot on Monday, 01Feb2021. On Saturday, 06Feb2021, he started feeling bad. He said he had chills, then clarified that he stayed cold feeling from Saturday evening into Saturday night. His joints hurt so bad on Saturday (06Feb2021) that he did not sleep well on Saturday night. He woke up on Sunday (07Feb2021) and continued to not feel well, he also had a cough. He felt so bad that he did not go to church on Sunday. He decided to go to an urgent care center because he thought maybe he had the COVID-19 virus. The urgent care did a flu and COVID-19 virus "quick" test. He tested negative for the flu, but positive for the COVID-19 virus on 07Feb2021." The patient reported that he read through the COVID-19 vaccine paperwork that listed the COVID-19 vaccine shot side effects, and he said he had the COVID-19 vaccine side effects listed. The patient reported that he was told by the doctor at the urgent care center to take Tylenol and to take it easy and stay hydrated. He said that he took 2 Equate brand Extra Strength Tylenol 500mg on Sunday evening (07Feb2021). He continued to take 2 Equate brand Extra Strength Tylenol 500mg (Lot Number: 4JRD267 or 4JR0267; Expiration Date: Jun2017) about every 6 hours, for 24 hours. The patient reported that he needed a magnifying glass to read the Equate brand Extra Strength Tylenol 500mg product label. He said he normally wore glasses and that he found the Equate brand Extra Strength Tylenol 500mg product label information to be small. He was unable to clearly read the product Lot Number. The patient reported that he felt good yesterday (09Feb2021), but today (10Feb2021) he was not feeling well again. He said he had no chills today. The patient reported that his next COVID-19 vaccine shot was on 24Feb2021. He asked if he would be able to receive the second COVID-19 vaccine dose since he was now positive for the COVID-19 virus. He wanted to know if and when he should get his second COVID-19 vaccine dose after having tested positive for COVID-19 following administration of his first dose. The clinical outcome of the event "positive COVID-19 test with symptoms" was unknown.