covid-19; covid-19; COVID brain; sick; hoarse voice; cough up things; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 67-year-old female patient received BNT162b2 (BNT162B2), on 31Jan2021 as dose 1, single (Batch/Lot number: unknown), in arm, on 21Feb2021 as dose 2, single (Batch/Lot number: unknown), in arm, on 01Sep2021 as dose 3 (booster), single (Batch/Lot number: unknown), in arm and on 05Apr2022 as dose 4 (booster), single (Batch/Lot number: unknown) at the age of 67 years, in arm for covid-19 immunisation. The patient's relevant medical history included: "Glaucoma" (unspecified if ongoing); "Flu" (unspecified if ongoing), notes: She had the flu many times in her life, especially as a child. The patient's concomitant medications were not reported. Vaccination history included: Polio vaccinations (She had polio vaccinations as a kid), for immunisation. The following information was reported: VACCINATION FAILURE (medically significant), outcome "unknown", COVID-19 (medically significant), 1 year 5 months 4 days after the suspect product(s) administration, outcome "unknown" and all described as "covid-19"; CEREBRAL DISORDER (medically significant), outcome "unknown", described as "COVID brain"; ILLNESS (non-serious), outcome "unknown", described as "sick"; DYSPHONIA (non-serious), outcome "unknown", described as "hoarse voice"; COUGH (non-serious), outcome "unknown", described as "cough up things". The patient underwent the following laboratory tests and procedures: Body temperature increased: (unspecified date) 99, notes: temperature was just slightly high like 99; SARS-CoV-2 test: (Dec2021) Positive, notes: she has had COVID twice, once was in Dec2021 and the second was 04Jul2022; (04Jul2022) Positive, notes: she has had COVID twice, once was in Dec2021 and the second was 04Jul2022. Clinical course: Patient reported she was fully vaccinated with Covid-19 Vaccine and recently received the booster; however she has had COVID twice and the last dose of the booster she received it 2 months after having COVID. Caller clarified that she has received a total of 5 doses of the Pfizer Covid-19 Vaccine including 3 booster doses. She clarified that she has had COVID twice, once was in Dec2021 and the second was 04Jul2022. COVID: Second event: even though she was officially old she still works so she was glad she wasn't as sick the second time; she didn't lose her sense of smell, but she got a very hoarse voice. She didn't feel as bad so was assuming the vaccinations have helped her both with the first and second times she had COVID. She knows it was not that unusual to get it even when vaccinated and boosted. Then she thinks it was trying to go into her lungs, but did not, thankfully, but she did cough up things like it was trying to do an infection. She was a singer and it affected her singing voice. It hasn't been that long and she was wondering if you have long term COVID how do you find that out. COVID brain: She has some COVID brain stuff, she couldn't think of the word right now when you don't go around people; quarantine. Later in the day it could come to her; she has been having those kind of things and it was not, she was not, she likes to make jokes out of things, and was not finding it a horrible thing, she has another friend that she thinks she contracted it from and she was in her early 70s, and at this age you can start to lose your memory, hard to tell why.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201212430 Same patient, different event, different drug;US-PFIZER INC-202201212884 Same patient, different event, different drug;