covid; covid; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from product quality group, Program ID.  A 63-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; BNT162b2 (BNT162B2 NOS), as dose 3 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; BNT162b2 (BNT162B2), as dose 1, single (Batch/Lot number: unknown) and as dose 2, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Splenectomy" (unspecified if ongoing), notes: Start Date: [ASKU] (ASKED BUT UNKNOWN) , Splenectomy, He was in an accident as young man.; "high blood pressure" (ongoing), notes: high blood pressure started long before he met caller and they have been married for 6 years so probably 10 years ago.; "Back injury", start date: 2011 (unspecified if ongoing), notes: Additional Information for Other medicines Oxycodone: takes for a back injury he suffered in 2011. Sees doctor in [Name] at pain clinic. 50mg daily but that is five doses spread out. Clarified he takes 10mg five times a day.; "Cholesterol" (unspecified if ongoing); "influenza A", start date: Dec2022 (unspecified if ongoing), notes: Her husband was sick in Dec2022, but it was influenza A.; "accident" (unspecified if ongoing), notes: He was in an accident as young man. Concomitant medication(s) included: LISINOPRIL taken for blood pressure measurement (ongoing); SIMVASTATIN taken for blood cholesterol abnormal (ongoing); OXYCODONE taken for back injury, start date: 2011 (ongoing). The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 02Mar2023, outcome "unknown" and all described as "covid". The reporter stated that her husband (patient) got sick first, but he only had four Covid shots. The reporter thinks her husband brought Covid to her after a trip to [Name withheld]. Her husband got angry, and wouldn't wait at the clinic, so they didn't get Paxlovid because he was being mean (as reported). Caller clarified that she was not sure if her husband brought Covid back form [Name withheld]. Her husband had traveled to [Name] on [Name] Airway and came home not feeling well, but also there were people at caller's work that sick. Her husband was sick in Dec2022, but it was influenza A. Caller doesn't have his vaccine cards to report anything for her husband. His shots were probably a week or a month before caller's. Her husband had three in [Name] and in between those he would have gotten one in [Name} Island in {Name}. Caller clarified that her husband got his vaccines in [Name] at (name). He got boosters at (name). All of those places are involved with [Name] and other healthcare providers. They were at the fairground at first and the follow up at (name). His first one would have been in Jan and then he would have had booster a month before caller. Caller clarified that her husband might not have gotten any in (city name). When he had other two shots he would have started going to [Name] Clinic in [Name withheld]. He was diagnosed with Covid yesterday, 02Mar2023. Her husband took home test as well. All of his Covid vaccines were Pfizer as well. He also had two home test positive for Covid on 02Mar2023. He had a tantrum and wouldn't stay at the clinic. He was coughing a little harder than caller, but he got up and went somewhere probably fishing by the river not to a clinic. He didn't sound like he was dying. He sounded like he thinks he was because he was a guy like if he gets a bad cold. It was a dog bark, dry cough. His nose was either running or felt really dry. The AE did not require visit to emergency room, physician office, and intensive care unit. The patient was positive for Covid. Only had four Covid shots. Caller doesn't have his vaccine cards to report anything for her husband. All of his Covid vaccines were Pfizer. Height: about 5 foot 8 inches or 5 foot 9 inches. Weight: probably about 210 pounds. The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (02Mar2023) Positive, notes: two home test positive for Covid on 02Mar2023.  The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5, BNT162b2 has been requested and will be submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300094230 similar report from same reporter;