Tested positive for COVID-19 infection on 15Aug2021; This is a spontaneous report received from a contactable consumer or other non-health care professional (patient) reported for herself. A 54-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: FC3180), via an unspecified route of administration, administered in Arm Left on 05Aug2021 in afternoon (at the age of 54-years-old) as dose 1, single for COVID-19 immunisation and tofacitinib citrate (XELJANZ XR), oral from an unspecified date (Batch/Lot number was not reported) to an unspecified date, at 11 mg, 1x/day for an unspecified indication. Caller does not recall when she started it. States she had taken Xeljanz before and tried a different one Rinvoq, and apparently she was allergic to it, she took it about a week and it was horrible body aches and everything. States she felt really bad like she had the flu so she stopped that and went back on Xeljanz and almost right away she started to feel better. States she was allergic to Rinvoq or something in it. she threw it away. States it was the one the doctor prescribed. Caller state her doctor just called and said she can get the 2nd Covid vaccine 14 days after she tests negative and has no symptoms and to stop taking the Xeljanz XR 11mg until after all of this. Medical history included high blood pressure, high cholesterol, hypothyroid, rheumatoid arthritis from an unknown date and unknown if ongoing, stroke from 2005 to an unknown date. The patient concomitant medications were not reported. Prior Vaccinations (within 4 weeks): no just the regular, she was not taking methotrexate already had taken it for a couple weeks before she got Covid and was not supposed to take it after and she has not taken it in about month a half, she was supposed to be taking it before but she just did not had any so she had run out and was trying to get her prescription. Patient does not took anything or pain pills, she takes probiotic, multivitamins all that stuff. Patient states she has a lot of arthritis in her right shoulder, she tore her rotator cuff and said alright use the left arm. The consumer reports she had stopped taking methotrexate, per her physician instructions, 2 weeks before the first injection of the Pfizer covid-19 vaccine and was told she could resume taking methotrexate 2 weeks after getting the second injection of the Pfizer covid-19 vaccine. The consumer reports she was told she could receive the second injection of the Pfizer covid-19 vaccine two weeks after she tested negative and was free of symptoms of COVID-19 injection. Caller stated she called for assistance with the Xeljanz and she had asked her doctor and her rheumatologist told her if she was taking methotrexate to stop it for 2 weeks and start it again and go get more blood work and then when she goes to get the 2nd shot to do the same thing. Caller stated she got 1 shot already and then tested positive for COVID-19 infection on 15Aug2021 and everyone else in the house was negative. States she was quarantined to her room. Caller states she was taking Xeljanz but not Methotrexate Caller was asking if she was still supposed to not take Methotrexate. States she did not tell her rheumatologist yet, she told her regular doctor and was told that after 10 days and she tests negative she could go 90 days after and get the 2nd vaccine. Caller stated she was due for the 2nd dose 26Aug2021 and that is her last day of the 10 days and could be tested and if negative she could after 90 days of tested positive she could schedule for the 2nd Covid vaccine. States her doctor told her to stop the methotrexate for 2 weeks if she gets the shot and then go on it for 2-3 weeks and then stop for the 2nd shot. Caller stated she did not tell him she was positive yet. Stated he told her to stop it for 2 weeks after she got the vaccine. Caller stated she stopped the methotrexate and is feeling a little sore. Caller is asking if they are covering Xeljanz for her, did they do that already and get all her information. Caller states they said that while doing that they were going to transfer her to DSU. States she gave them all her information about how many people and how much her husband makes, that she doesn't work. Caller stated she got her 1st Pfizer Covid vaccine 5Aug2021. Stated her daughter was a nurse and said that was the best one she can find and did not like any of the other ones. Stated her daughter has not gotten it yet and they were home with it. Caller stated she herself does not had any symptoms, she has a headache and was tired but they had cough, stuffy nose and everything. Caller stated she got her shot and has to stay there for 10 days and her daughter was worried because of all her medical stuff. Caller states she was thinking she got at least 1 shot and was praying that was what has gotten her through this. Because everybody was starting to get sick and it was spreading in her area so she spoke to her rheumatologist and he encouraged her to have it and her daughter recommended it for everybody. Caller stated she tried to get it a couple of months ago and her daughter said to check with all her doctors and she just went and got it and did not tell her. Stated she has a 4 year old at home that was not allowed to get it and she convinced her husband to do it, he did not want to either. Caller states she had blood drawn before for her doctor and rheumatologist to make sure her liver and thyroid and everything was ok since she takes medication for that too. Caller stated she stopped taking Methotrexate injection about 3-4 weeks before getting the 1st dose of the Covid vaccine. The outcome of the events was reported as recovered on Aug2021.