Tested positive for Covid, even though she had 2 vaccinations and 2 boosters/ upper respiratory congestion in the nose and such that felt like it was going into her sinuses/ strong bitter taste in mouth/ severe headaches; Felt like she could not focus her eyes very well; Dizziness; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Tested positive for Covid, even though she had 2 vaccinations and 2 boosters/ upper respiratory congestion in the nose and such that felt like it was going into her sinuses/ strong bitter taste in mouth/ severe headaches), VISION BLURRED (Felt like she could not focus her eyes very well) and DIZZINESS (Dizziness) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.    Co-suspect product included non-company product NIRMATRELVIR, RITONAVIR (PAXLOVID) tablet for COVID-19.    Concurrent medical conditions included Pre-diabetic. Concomitant products included METFORMIN for Pre-diabetic, ATORVASTATIN CALCIUM (LIPITOR) for an unknown indication.   On 28-Apr-2022, the patient started NIRMATRELVIR, RITONAVIR (PAXLOVID) (unknown route) 2 tablets of 150mg and 1 tablet of 100mg each dose consists of 3 tablets, one dose in the morning and one dose in the evening. On an unknown date, the patient received fourth 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. On 27-Apr-2022, the patient experienced COVID-19 (Tested positive for Covid, even though she had 2 vaccinations and 2 boosters/ upper respiratory congestion in the nose and such that felt like it was going into her sinuses/ strong bitter taste in mouth/ severe headaches), VISION BLURRED (Felt like she could not focus her eyes very well) and DIZZINESS (Dizziness). At the time of the report, COVID-19 (Tested positive for Covid, even though she had 2 vaccinations and 2 boosters/ upper respiratory congestion in the nose and such that felt like it was going into her sinuses/ strong bitter taste in mouth/ severe headaches), VISION BLURRED (Felt like she could not focus her eyes very well) and DIZZINESS (Dizziness) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 27-Apr-2022, SARS-CoV-2 test: positive (Positive) Positive.         Patient was having was having severe, severe headaches and upper respiratory congestion in the nose and such. It felt like it was going into sinuses. Patient had dizziness that felt patient could not focus eyes very well and theses symptoms all occurred after patient was tested positive for Covid. Patient had strong bitter taste in mouth this started after taking Paxlovid. Patient had taken 3 doses so far 2 tablets of 150mg and 1 tablet of 100mg each dose consists of 3 tablets, one dose in the morning and one dose in the evening. It was reported that patient had 2 vaccinations and 2 boosters of the Moderna Covid vaccine even though patient was tested positive for COVID.It was reported that patient took Lipitor for statin indication.No treatment medication was provided by the reporter. COMPANY COMMENT: This spontaneous case concerns a 75-year-old, female patient with no relevant medical history, who experienced unexpected non serious event of covid-19, which occurred unspecified days after fourth dose of mRNA-1273 vaccine. It is reported that patient had severe headache, and upper respiratory congestion in the nose, felt like it was going into sinuses and had dizziness felt like could not focus eyes very well and all symptoms occurred after tested positive for covid and also patient had strong bitter taste in mouth this started after taking Paxlovid. Patient had taken 3 doses so far 2 tablets of 150mg and 1 tablet of 100mg each dose consists of 3 tablets, one dose in the morning and one dose in the evening. It is reported that patient had 2 vaccinations and 2 boosters of the mRNA-1273 Covid vaccine. The benefit-risk relationship of mRNA-1273 is not affected by this report.; Sender's Comments: This spontaneous case concerns a 75-year-old, female patient with no relevant medical history, who experienced unexpected non serious event of covid-19, which occurred on unspecified days after fourth dose of mRNA-1273 vaccine. It is reported that patient had severe headache, and upper respiratory congestion in the nose, felt like it was going into sinuses and had dizziness, felt like could not focus eyes very well and all symptoms occurred after tested positive for covid and also patient had strong bitter taste in mouth this started after taking Paxlovid. Patient had taken 3 doses so far 2 tablets of 150mg and 1 tablet of 100mg each dose consists of 3 tablets, one dose in the morning and one dose in the evening. It is reported that patient had 2 vaccinations and 2 boosters of the mRNA-1273 Covid vaccine. The benefit-risk relationship of mRNA-1273 is not affected by this report.