had COVID three times; with the first time in 2020, the second time Dec2021, and then again 14Sep2022.; had COVID three times; with the first time in 2020, the second time Dec2021, and then again 14Sep2022.; 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 63-year-old male patient received BNT162b2 (BNT162B2), on 07Mar2021 as dose 1, single (Lot number: EN6201), on 28Mar2021 as dose 2, single (Lot number: EN6205), on 07Nov2021 as dose 3 (booster), single (Lot number: FF2593) and on 04May2022 as dose 4 (booster), single (Lot number: FK9893) at the age of 63 years for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "had COVID three times; with the first time in 2020, the second time Dec2021, and then again 14Sep2022.". The patient underwent the following laboratory tests and procedures: Body temperature: (unspecified date) 102, notes: his fever wasn't over 102; Chest X-ray: (unspecified date) showed ground glass opacities, notes: showed ground glass opacities, which is a definitive test of COVID; SARS-CoV-2 test: (unspecified date) Positive, notes: caught Covid again in 14Sep2022, so I took paxlovid from the 14Sep to I think 28Sep; (Mar2020) Positive, notes: he had COVID three times: first time was in March2020; (Dec2021) Positive, notes: he had COVID three times: second time Dec2021; (14Sep2022) Positive, notes: he had COVID three times: then again 14th Sep2022; (21Sep2022) Negative, notes: then he tested negative for COVID on 21Sep and 22Sep; (22Sep2022) Negative, notes: then he tested negative for COVID on 21Sep and 22Sep; (23Sep2022) Positive, notes: he tested positive; (29Sep2022) Negative, notes: He tested himself 29Sep and it was negative; (30Sep2022) Negative, notes: he tested himself 30Sep; (01Oct2022) Negative, notes: he tested himself 30Sep and on 01Oct. Therapeutic measures were taken as a result of vaccination failure, covid-19.  Clinical course: Patient had no other conditions, investigations and Other Products were not administered. Patient had COVID three times; with the first time in Mar2020, which he had COVID really bad and he doesn't know how he survived, he almost died, the hospitals wouldn't take him because his fever wasn't over 102, he had pneumonia in both lungs. When he went for his procedure in Sep2020 when they were finally doing procedures again, it was supposed to be ambulatory surgery, and he was not supposed to be admitted to the hospital, and they put him on a vent and when they took him off the vent his lungs started filling up with fluid. His chest x-ray showed ground glass opacities, which is a definitive test of COVID. They tried to keep him in the hospital in the COVID ward, and wanted to put him back on the vent, which he refused. The next day he got up, which he didn't sleep, and he walked out of the hospital. The second time he had COVID was in Dec2021. When he had COVID for the third time in Sept2020, clarified to Sep2022, he had had all his shots and boosters and everything, then Sep2022 when he got COVID on 14Sep. He had all Pfizer COVID-19 vaccines, the information on vaccine cards is handwritten and then again 14Sep2022. He took Paxlovid from 14Sep28Sep, and before that he had long COVID. He had no energy, he had to take four naps a day, was achy, and had to fall asleep at seven PM. He said back then there was no definitive report about long haul syndrome, and when he told people he had fatigue people would look at him like he was crazy. He thought he had brain damage that was how he felt, but then after he took two rounds of Paxlovid he feels like he is cured and has energy now. Now he stays awake until one AM and is able to work around the house. Agent Patient took two rounds of Paxlovid, and also he took it from 14Sep to 28Sep, but reporter was not sure if this was taken every day or stopped sometimes. He was wondering about if the virus was dormant in his nervous system or something like that, and he was willing to do another round of Paxlovid since it seems to have arrested the situation, and he doesn't know if it will reveal itself again. It seems no one knows anything, and they are afraid to talk about it, but he thought Paxlovid was the cure for long haul COVID, he had symptoms for over three years now. It seemed taking the Paxlovid cleared his head and he has energy.