Sex: M
Vaccine: COVID19, UNK
Symptoms: Blood alkaline phosphatase, Dehydration, Post-acute COVID-19 syndrome, SARS-CoV-2 test, Vitamin D
Clinical narrative: Probably a little dehydrated yesterday; He was diagnosed with long Covid/Prescribed Paxlovid; Fifth time with Covid; This spontaneous case was reported by a patient and describes the occurrence of DEHYDRATION (Probably a little dehydrated yesterday) and POST-ACUTE COVID-19 SYNDROME (He was diagnosed with long Covid/Prescribed Paxlovid; Fifth time with Covid) in an elderly male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M2019) 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 COVID-19 (He was not tested positive because he had no test where he was at. But he was pretty sure that he had Covid on 05-Mar-2020) on 05-Mar-2020. Family history included Hypophosphatasia (Had a genetic disease called Hypophosphatasia and it made him susceptible to inflammation and that was why he was missing Alkaline Phosphatase) since an unknown date. Concurrent medical conditions included Hearing reduced (Patient had little hearing problem. So, he went to change 'ears'). Concomitant products included ASFOTASE ALFA (STRENSIQ) for Hypophosphatasia.   On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Jul-2022, NIRMATRELVIR, RITONAVIR (PAXLOVID) (unknown route) dosage was changed to at an unspecified dose. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form On an unknown date, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form and NIRMATRELVIR, RITONAVIR (PAXLOVID) (unknown route) at an unspecified dose. and NIRMATRELVIR, RITONAVIR (PAXLOVID) (unknown route) dosage was changed to at an unspecified dose. On an unknown date, the patient experienced DEHYDRATION (Probably a little dehydrated yesterday) and POST-ACUTE COVID-19 SYNDROME (He was diagnosed with long Covid/Prescribed Paxlovid; Fifth time with Covid). At the time of the report, DEHYDRATION (Probably a little dehydrated yesterday) and POST-ACUTE COVID-19 SYNDROME (He was diagnosed with long Covid/Prescribed Paxlovid; Fifth time with Covid) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2022, SARS-CoV-2 test: (Positive) Then there was an antigen test somewhere in early 2022, he does not know when, March or April. There was an antigen positivity test at that time. On an unknown date, Blood alkaline phosphatase: He had blood work done probably every 3 weeks because of Hypophosphatasia. He had perfect blood work expect his alkaline phosphatase level was up around 12000. On an unknown date, Vitamin D: Had incredible amount of Vitamin D in his system.   The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.  Patient was prescribed with Paxlovid. He said it was his fifth time with Covid. He did say, he got it on holiday and also on 22-Jul-2022 and also, he described for it was first time as well.  He advised it was first time having Covid they did not test him because he was not sick enough and about a month later. He was diagnosed with long Covid, and he had incredible amount of Vitamin D in his system.  He took a total of 4 Vaccine shots but that was Moderna.  Said three Moderna shots that he does not know who the Booster came from.   Paxlovid does work, it does work, it does lessen, there was no problem, makes the time shorter.   When probed he was prescribed with Paxlovid third time. The 1st time was 22-Jul-2022. The second time was this last holiday, and this was the third time.  the previously taken Paxlovid first one was from, the prescription from there, that was 22-Jul-2022. The other one was given by Physician.  Patient had three Moderna shot and the boosters.  It was two shots of Moderna and the booster.  The booster was also the Moderna's.  Treatment information was not provided.