Felt like he couldn't breath; He still has his sense of taste, but it is dulled; Recently got the vaccine and also came down with covid; Recently got the vaccine and also came down with covid; Exhaustion/feeling tired; Loss of smell; Mild congestion/The congestion went into full nasal drainage; This is a spontaneous report from a contactable pharmacist (patient). A 30-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EL0140, Expiry Date: 31Mar2021), via an unspecified route of administration on 31Dec2020 13:00 at single dose for Covid-19 immunization. The patient had no relevant medical history and concomitant drug. The patient experienced recently got the vaccine and also came down with covid on 04Jan2021 00:30, mild congestion/the congestion went into full nasal drainage on 31Dec2020, loss of smell on 02Jan2021, exhaustion/feeling tired on 03Jan2021, felt like he couldn't breathe, he still has his sense of taste, but it is dulled on an unspecified date. He was a pharmacist. He received his first dose of the COVID vaccine on Thursday 31Dec2020 1pm. Shortly thereafter, he got the typical side effects of the vaccine that are posted. Then 2.5 days letter he no longer had a sense of smell. Everything he read said that he probably came in contact with COVID prior to administration. His questions was since he test positive for COVID, should he still get the second shot. He got it at a clinic. He did experience mild congestion which started by 6 o'clock. He started to notice slight congestion that kind of went away. Then, on Friday, about 24 hours later, he really noticed he had congestion. He took pseudoephedrine hydrochloride (SUDAFED) and paracetamol (TYLENOL). Then his sense of smell diminished with the congestion and felt like he couldn't breathe. On Saturday, he decided to not take medication. That was when he noticed he could not smell anything. He had full blown congestion. It probably took two days when he started to lose his sense of smell. He received the shot on Thursday. On Saturday, he lost his sense of smell. He still has his sense of taste, but it was dulled. Sunday, he was just exhausted and feeling tired. These were all listed as typical side effects except for the loss of smell. Saturday was the worst. The congestion went into full nasal drainage. On Sunday he had no sinus issues. He still hasn't gained his sense of smell back. The exhaustion set in Sunday 03Jan2020. He doesn't feel like any of the side effects are serious. The exhaustion has started to let up some so it is improving. He was pretty much back to normal. He just couldn't figure out why he had a loss of smell. He had a COVID rapid test on 04Jan2021 at 8:30 am (as reported). He received an alert and hour later that it was positive. He was wondering whether the loss of smell could be from the vaccine. The patient underwent lab tests and procedures which included COVID-19 rapid POC test: positive on 04Jan2021. The outcome of events for mild congestion/the congestion went into full nasal drainage was resolved on 03Jan2021, for loss of smell was not resolved, for exhaustion/feeling tired was resolving, for other events was unknown. The events were reported as non-serious.; Sender's Comments: Reported event "recently got the vaccine and also came down with covid" is considered possibly related to suspect BNT162B2 based on temporal association and known drug safety profile.