she is now on day 4 of taking Paxlovid/my 1st and 2nd booster shots were by Pfizer/COVID-19 after receiving COVID-19 Vaccines; she is now on day 4 of taking Paxlovid/my 1st and 2nd booster shots were by Pfizer/COVID-19 after receiving COVID-19 Vaccines; This is a spontaneous report received from contactable reporter (Consumer) from medical information team. The reporter is the patient.  A 62-year-old female patient received BNT162b2 (BNT162B2), on 18Nov2021 as dose 3 (booster), single (Lot number: FH8030), in left arm and on 20Apr2022 at 12:30 as dose 4 (booster), single (Lot number: FK9893) at the age of 62 years, in left arm for covid-19 immunisation; coviD-19 vaccine mrna (mrna 1273) (MODERNA COVID-19 VACCINE), on 26Jan2021 at 20:00 as dose 1, single (Lot number: 030L20A, Expiration Date: 16Jul2021), in left arm and on 23Feb2021 as dose 2, single (Lot number: 013M20A, Expiration Date: 31Jul2021), in left arm for covid-19 immunisation. The patient's relevant medical history included: "impaired immune system" (unspecified if ongoing). Concomitant medication(s) included: ZILLION. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 29Jul2022, outcome "not recovered" and all described as "she is now on day 4 of taking Paxlovid/my 1st and 2nd booster shots were by Pfizer/COVID-19 after receiving COVID-19 Vaccines". The patient underwent the following laboratory tests and procedures: Oxygen saturation: (unspecified date) remains steady; SARS-CoV-2 test: (29Jul2022) Positive. Therapeutic measures were taken as a result of covid-19.  Clinical information: The patient had been vaccinated with first and second booster dose of Pfizer COVID-19 vaccine. The patient had been infected with COVID-19 since then. Patient had Moderna for primary series of COVID-19 Vaccine. She was coughing up a lot of stuff and blowing out stuff. She was congested. None of that stuff tasted good. Patient had this lingering horrible taste that dissipated with the use of Listerine. Patient got positive COVID-19 result at 9PM and was able to get the Paxlovid really fast. The patient was taking Paxlovid at time of onset, started Paxlovid on 30Jul2022, Outcome not constant, intermittent, has been about the same. The patient wasn't worried about the altered sense of taste, read everything and knew there was a chance altered sense of taste could occur, but she was not going to stop the Paxlovid for that, the Paxlovid was too vital. She had an impaired immune system and wanted it right away. She had a zillion medical conditions and it would take a while. She was hoarse and having a hard time talking. Physician Office No, seen her doctor all the time, had a very sick medical record there. Patient was just in there 2 days before for unrelated problem to get stitches out. Her pulse ox remains steady. Patient did not have prior Vaccinations within four weeks prior to the first administration date of the suspect vaccine. Previous Fall had to get flu, second pneumonia, and COVID-19 Vaccine. She was careful to space out all of the vaccines and then she was done. Patient did not hace AE(s) following prior vaccinations, clarified nothing other than the sore arm thing but patient did not specify which vaccine this was associated with.