cough; nasal congestion; didn't sleep well/He has sleep apnea; blood pressure went up to 121/63; his temp and it went up; pulse rate was up; very tired; He had COVID test and it came back positive; He had COVID test and it came back positive; This is a spontaneous report from a contactable Nurse (patient's mother). Report 3 of 3. MI filed on report 1 of 3. A 40-year-old-male patient received first dose of BNT162B2 (COVID VACCINE, Pfizer product, Formulation: Solution for injection, Lot: Number: EL3302, NDC number: Unknown, Expiry Date: Unknown) via an unspecified route of administration on 15Jan2021 at single dose for covid-19 immunization. The patient's medical history included sleep apnea (he started with CPAP and technically it was a BIPAP machine), bipolar disease (took psychiatric medications), lost weight, blood pressure and liver enzymes. On 17Mar2020, he quit smoking. Concomitant medications were not reported. On 26Jan2021, the patient experienced nasal congestion and cough. He had COVID test and it came back positive. It was reported that, "they were vaccinated on 15Jan2021 with first dose. The Wednesday after which was about 5 days after the vaccine her husband got chills, sneezing, and fatigue. He did not call the doctor and did not get tested. About a week later her son had nasal congestion and cough. This was the third day for that. Called her son's doctor since this was the second person in the house to have symptoms. He had COVID test and it came back positive. Is the COVID vaccine enough to give a positive test. She had symptoms too, but she normally get sinusitis this time of year. No one had a fever. Her son was really congested. Maybe he will develop a fever down the line. She was at a quandary. She had to quarantine in case it was. Could the vaccination cause a positive COVID test result. She thought the symptoms should show up in 1 to 3 days. A week in between her husband and son and it was hard to believe. It should have been her to get it worse since she sleeps with her husband. Praise the Lord she had not. She and her husband had not been tested for COVID. Only her son was COVID tested. Wednesday morning he woke up and he was much more congested. He complained a little on Tuesday. He had sleep apnea and uses CPAP. He might have wanted cough medicine to help him sleep good. He said he did not sleep well. He was very tired and congested. On the evening of 26Jan2021 he was more congested than usual. He was tested yesterday and got positive results this morning. History and Investigations: he was in a lot better shape since living with them because he had lost over 100 pounds. He had sleep apnea. He started with CPAP and technically it was a BIPAP machine. They call it a CPAP. He was 355 pounds and now 228 pounds. Slowly loosing weight. He had bipolar disease and took psychiatric medications. Since he had lost weight he has had to decrease his doses. He was having problems with blood pressure in October. He was starting to feel faint and the doctor stopped his blood pressure medications. He had issues with his liver enzymes and he was not out of the woods yet. He had been a smoker on and off. He quit smoking on 17Mar2020. Caller declined to do provide information about her son's psychiatric medications and blood pressure medications for report. They bought a blood pressure cuff to keep track of his blood pressure. Since he got sick his blood pressure went up to 121/63. It was normally 110 to 114 over 63 to 70. She had also been keeping an eye on his temp and it went up about a degree. His pulse rate was up which you would expect. His pulse rate was usually between 55 and 68. That day it was 83. There was a product complaint. Caller was patient's mother. Vaccinated on 15Jan2021 with first dose. About a week later her son had nasal congestion and cough. This was the third day for that. Called her son's doctor since this was the second person in the house to have symptoms. He had COVID test and it came back positive. Is the COVID vaccine enough to give a positive test. Her son was really congested. Maybe he would develop a fever down the line. Could the vaccination cause a positive COVID test result. On the evening of 26Jan2021 he was more congested than usual. He was tested yesterday and got positive results this morning. Outcome of the events was unknown.