She has had the Covid 19 virus in 'year 1, year 2, and year 3.'; She has had the Covid 19 virus in 'year 1, year 2, and year 3.'; Getting sicker and sicker; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  An elderly female patient received bnt162b2 (BNT162B2), administration date Aug2021 (Batch/Lot number: unknown) as dose 3 (booster), single, administration date Mar2021 (Batch/Lot number: unknown) as dose 2, single and administration date Feb2021 (Batch/Lot number: unknown) as dose 1, single for covid-19 immunisation. Relevant medical history included: "COVID-19 Virus" (unspecified if ongoing), notes: She has had the Covid 19 virus in 'year 1, year 2, and year 3.'; "Blood infusion" (unspecified if ongoing), notes: I have to get a blood infusion once a year when my hemoglobin gets to low; "Arthritis" (unspecified if ongoing), notes: I have arthritis and it makes it really difficult.; "My hemoglobin gets to low" (unspecified if ongoing), notes: My hemoglobin gets to low; "Immunosuppressed" (unspecified if ongoing), notes: She did not qualify for a booster dose with the reasoning being she was on 'monoclonal antibodies. Concomitant medication(s) included: LETROZOLE. The following information was reported: DRUG INEFFECTIVE (medically significant), SUSPECTED COVID-19 (medically significant), outcome "unknown" and all described as "She has had the Covid 19 virus in 'year 1, year 2, and year 3.'"; ILLNESS (non-serious), outcome "unknown", described as "Getting sicker and sicker". The patient underwent the following laboratory tests and procedures: haemoglobin: low, notes: My hemoglobin gets to low; white blood cell count: 1.1, notes: My white blood call count is 1.1 or something.  Clinical course: She got the Pfizer Covid 19 vaccines initial series in Feb2021 and Mar2021. She received another dose in Aug2021. She described this dose as her '3rd dose'. She would like to have a booster dose as well due to being immunosuppressed. She states that in Dec2021 she went to her pharmacy to get this booster dose which would be her 4th dose overall. She filled out the paper at the pharmacy and checked that she was immunosuppressed and in active cancer treatment and the pharmacy told her that she did not qualify for a booster dose with the reasoning being she was on 'monoclonal antibodies'. She relays that she spoke with her oncologist who sent in a prescription stating that she should receive a booster dose but that she pharmacy would not give her one. She needed the booster because she has had the Covid 19 virus in 'year 1, year 2, and year 3.' She stated that she had 'long haulers' and could not 'shake off the symptoms' 'getting sicker and sicker'. She have to get a blood infusion once a year when her haemoglobin gets to low but she don't think that's bad because her friend has to have a infusion once a week every week so that 52 times a year. Her white blood call count was 1.1 or something." And she asked why would I need to decrease my dose? If I do decrease does that put me at risk? My doctor mentions the bone levels but I don't know what that means.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.