Anaplasmosis; She tested positive for Covid after receiving 3 doses of MODERNA Covid 19 Vaccines.; This spontaneous case was reported by a nurse and describes the occurrence of COVID-19 (She tested positive for Covid after receiving 3 doses of MODERNA Covid 19 Vaccines.) and HUMAN ANAPLASMOSIS (Anaplasmosis) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 033F21A, 010A21A and 028L20A) for COVID-19 prophylaxis.     Concurrent medical conditions included Anxiety, Blood pressure high and Arthritis (Normally would have discomfort in her legs, they would be arthritic, hurt her, be uncomfortable). Concomitant products included PAROXETINE HYDROCHLORIDE (PAXIL [PAROXETINE HYDROCHLORIDE]) for Anxiety, LISINOPRIL for Blood pressure high.   On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 30-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Nov-2022, the patient experienced COVID-19 (She tested positive for Covid after receiving 3 doses of MODERNA Covid 19 Vaccines.). On an unknown date, the patient experienced HUMAN ANAPLASMOSIS (Anaplasmosis). The patient was treated with NIRMATRELVIR, RITONAVIR (PAXLOVID) from 18-Nov-2022 to 23-Nov-2022 for COVID-19, at a dose of 300/100mg dose pack; 3 tablets twice a day for 5 days. At the time of the report, COVID-19 (She tested positive for Covid after receiving 3 doses of MODERNA Covid 19 Vaccines.) and HUMAN ANAPLASMOSIS (Anaplasmosis) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Nov-2022, SARS-CoV-2 test: Positive. On an unknown date, Body temperature: 103-104.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.    Height: Getting Shorter 5'2" or 5'3"  Patient left the work because she was very nauseous and then the next day she had a bad headache and what she thought was a sinus infection. Then on Thursday she left work and tested positive for Covid on Friday, 18 Nov 2022. She was resting more with the Covid, she had headache and chills and night sweats but no elevated temperature.   Shortly after starting the antiviral, Paxlovid, she never had a problem with her arthritic discomfort. It was very strange because normally when she gets out of bed in the morning, she would have discomfort in her legs and they would be arthritic and hurt her and be uncomfortable but the whole time she was on Paxlovid, she never had any problem with that. Patient did had a terrible taste in her the mouth. Her taste is still altered from the Covid, but the metallic taste resolved.  When she had the shots she was working as a nurse and she doesn't have the timeline but she got sick during Covid and had a temperature of 103-104 so she went to the Clinic. But she didn't had Covid, she had Anaplasmosis which is one of the 5 tick borne diseases. She was nasty sick for quite a while, a few weeks. Her liver count was 3 times the amount and she was very sick. She has had more aches and pains after she had Anaplasmosis.  The whole time during the Pandemic, she worked and didn't get Covid until last week. She doesn't know if the improvement in her arthritic discomfort and aches was coincidental or what but it started after the Anaplasmosis so it is hard to know. She used to be very active and walked. When she had Covid last week, she had been so sick before from the Anaplasmosis. She had no trouble walking up stairs and even sitting and standing and now she can get out of bed after taking the Paxlovid.