a sore arm; positive COVID-19 test with symptoms; positive COVID-19 test with symptoms; This is a spontaneous report from a contactable consumer (patient). A 23-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 12Feb2021 10:45 (at age of 23-year-old)(Lot Number: EN6205) as single dose, and received the second dose of BNT162B2, via an unspecified route of administration, administered in Arm Left on 05Mar2021 11:15 (at age of 23-year-old) (Lot Number: EN6201) as single dose for COVID-19 immunisation.  Medical history included Genearal anxiety disorder, had this for a while and attention deficit hyperactivity disorder (ADHD), had for 4-5 years. There was no allergies to medications, food, or other products.Concomitant medication(s) included sertraline hydrochloride (ZOLOFT) taken for generalised anxiety disorder from an unspecified start date and ongoing; spironolactone (SPIRONOLACTONE A L) taken for acne (She has an Intra Uterine Device and it was causing some acne) from Sep2020 and ongoing; lisdexamfetamine mesilate (VYVANSE) taken for attention deficit hyperactivity disorder from an unspecified start date and ongoing.  The patient experienced positive COVID-19 test with symptoms on 22Mar2021. The event was considered as serious with serious criteria medically significant. The patient also experienced a sore arm on an unspecified date.  The patient did not have any adverse side effects (other than a sore arm) postvaccination of her first and second doses. The patient did not travel or really even leave her house two-weeks postvaccine to ensure built up the proper immunity/antibodies. However, around three weeks after the second dose of the Pfizer vaccine, the patient tested positive for Covid-19 and am symptomatic. The patient was congested and experiencing horrible headaches, lost her sense of smell and taste, and am extremely tired/fatigued. She received the first Covid 19 vaccine on 12Feb2021, injection in the left upper arm. She started out feeling really congested like she was getting a cold on Saturday night, 20Mar2021. She didn't think much of it and then she started to lose her sense of taste and smell on Monday, 22Mar2021. She had coffee and she couldn't taste it. She got an appointment to get a Covid 19 test. The cold like symptoms have been subsiding. Now she is really fatigued. She has brain fog,  and felt like she can't work as efficiently or concentrate. Her Covid 19 rapid test was positive on Monday, 22Mar2021. She had the Covid 19 PCR test on Monday, 22Mar2021 but she does not have the results of that test yet. She also has a headache. She didn't think she had Covid 19 until she couldn't smell or taste anything. She is still a little congested. She is taking Mucinex because of the head pressure. Today (24Mar2021) she woke up and it's been her best day. She can't tell if she's getting her smell back, but she compares it to having the flu, she can smell just a sick smell. She can't describe it any other way, just that she can smell and taste a sick smell. The headache she describes as dull. She thought its related to the congestion. She's been taking Mucinex a dual day and night, 2 capsules. Mucinex Sinus Max Day is Acetaminophen 325mg, Dextromethorphan HBr 10mg, Guaifenesin 200mg, and Phenylephrine HCl 5mg. Mucinex Sinus Max Night is Acetaminophen 325mg, Dextromethorphan HBr 10mg, Doxylamine Succinate 6.25mg, and Phenylephrine HCl 5mg. She started taking Mucinex on Sunday night, 21Mar2021, the nighttime one, then she took a daytime dose on Monday, 22Mar2021 in the morning. She took 2 doses on Monday, she thought she can take up to 3 doses per day. Then she took the nighttime dose again on Monday night,22Mar2021. She took 2 doses on Tuesday, 23Mar2021 and she took nothing last night because her congestion is getting better. She did take regular Tylenol this morning for her headache. Tylenol 500mg 2 capsules. When asking the caller questions from the Vaccine Supplemental Form regarding lack of efficacy, she reports she was possibly in contact with someone who was infected with Covid 19 as she traveled for her spring break from Thursday, 18Mar2021 to Sunday, 21Mar2021. This is discrepant from what was previously recorded at the beginning of the conversation when the caller reported she's not sure how she got the Covid 19 virus, she really didn't go anywhere. The patient underwent lab tests and procedures which included SARS-COV-2 test: positive on 22Mar2021, SARS-COV-2 TEST: positive on 24Mar2021. Therapeutic measures were taken as a result of positive covid-19 test with symptoms and a sore arm. Prior to vaccination, the patient was not diagnosed with COVID-19.  Since the vaccination, the patient has been tested for COVID-19. The outcome of events was resolving.