Tested positive for COVID-19 after COVID-19 Vaccine; Tested positive for COVID-19 after COVID-19 Vaccine; sinus infection; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team and product quality group. The reporter is the patient.  A 44-year-old female patient received BNT162b2 (BNT162B2), on 31Aug2021 as dose 1, single (Lot number: FC3184), in right arm and on 22Sep2021 as dose 2, single (Lot number: FF8839) at the age of 42 years, in left arm, all intramuscular for covid-19 immunisation. The patient's relevant medical history included: "Asthma" (ongoing), notes: Diagnosed as a kid; "COVID-19" (unspecified if ongoing), notes: before the vaccines; "Stopped drinking all alcohol like a year ago", start date: 2022 (unspecified if ongoing); "High cholesterol" (ongoing). Concomitant medication(s) included: FLU VACCINE VII taken for immunisation; ROSUVASTATIN oral taken for blood cholesterol increased. The following information was reported: SINUSITIS (non-serious) with onset Mar2023, outcome "unknown", described as "sinus infection"; VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 27Mar2023, outcome "not recovered" and all described as "Tested positive for COVID-19 after COVID-19 Vaccine". The patient underwent the following laboratory tests and procedures: Body temperature: (unspecified date) couldn't get it under 100; (unspecified date) high fever; SARS-CoV-2 test: (27Mar2023) Positive. Therapeutic measures were taken as a result of vaccination failure, covid-19. Clinical course: The patient was diagnosed with Covid and her doctor prescribed Paxlovid. The patient heard that a lot of people that take it they feel good on it but when they get off of it, they get sick again and feel bad. She has asthma and she was worried about the breathing situation in the future. She confirmed she does not have a current breathing issue but was worried about what people told her. It kind of scared her when she heard this and wanted more information because she did not see this on the brochure that she received from the pharmacy. She stated she takes cholesterol medications and saw she cannot take it with Paxlovid. This is the second time she had COVID herself. First time she had COVID, she was prescribed an antimalarial medication. Was on so many other medications also. Didn't really know or differentiate the medications made her sick. Clarified she was fine on the medications she took for the first time she had COVID. Clarified this time, the second time she has had COVID, is the first time she has tested positive for COVID after getting the COVID-19 Vaccine. For the weekend she was terribly sick, high fever all weekend, wrote it off as sinus infection. Saturday to Sunday fever was really high and couldn't get it under 100 and called her HCP Monday and gradually kind of her fever weaned off with over-the-counter medicine she was taking, and the fever broke yesterday. Clarified fever broke before taking Paxlovid. Fever broke with a hot toddy. Stopped drinking all alcohol like a year ago and not messing with the hot toddy but had no other choice.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300139093 same patient/product; different dose/event;