I was symptom free and tested negative on day 7. On day 10 I  got very congested, started sneezing and was fatigued. Tested positive again on day 11.; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (I was symptom free and tested negative on day 7. On day 10 I  got very congested, started sneezing and was fatigued. Tested positive again on day 11.) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001M21A, 048C21A, 024M20A and 042L20A) for COVID-19 vaccination.     Concurrent medical conditions included Psoriasis, Osteoarthritis, Joint pain, Migraine and Drug allergy. Concomitant products included SECUKINUMAB (COSENTYX) from 10-Feb-2022 to an unknown date, MELOXICAM, CURCUMA LONGA RHIZOME (QUNOL TURMERIC EXTRA STRENGTH), FISH OIL (KIRKLAND SIGNATURE FISH OIL) and MINERALS NOS, VITAMINS NOS (CENTRUM [MINERALS NOS;VITAMINS NOS]) for an unknown indication.   On 18-Jan-2021 at 5:00 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Feb-2021 at 9:00 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Nov-2021 at 9:00 AM, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Apr-2022 at 10:00 AM, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced COVID-19 (I was symptom free and tested negative on day 7. On day 10 I  got very congested, started sneezing and was fatigued. Tested positive again on day 11.). The patient was treated with NIRMATRELVIR, RITONAVIR (PAXLOVID) from 22-May-2022 to 27-May-2022 for COVID-19 treatment, at an unspecified dose and frequency. At the time of the report, COVID-19 (I was symptom free and tested negative on day 7. On day 10 I  got very congested, started sneezing and was fatigued. Tested positive again on day 11.) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 29-May-2022, SARS-CoV-2 test: neagtive (Negative) tested negative on day 7.. On 31-May-2022, SARS-CoV-2 test: positive (Positive) Tested positive again on day 11..         The patient was symptom free and tested negative on day 7. On day 10, the patient got very congested, started sneezing and was fatigued. Tested positive again on day 11. The Device Date was reported as  02-Jun-2022.  COMPANY COMMENT: This is an spontaneous case concerning an 70-year-old female patient with  medical history of Psoriasis, Osteoarthritis, Joint pain, Migraine and Drug allergy, Concomitant products included SECUKINUMAB, MELOXICAM, CURCUMA LONGA RHIZOME, FISH OIL and MINERALS NOS, VITAMINS NOS, PAXLOVID for COVID-19 treatment from 22-May-2022 to 27-May-2022 who experienced the unexpected event of COVID-19 (AESI) 35 days after  4th dose of  mRNA-1273 vaccine. On 31-May-2022, SARS-CoV-2 test: positive The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender's Comments: COMPANY COMMENT: This is an spontaneous case concerning an 70-year-old female patient with  medical history of Psoriasis, Osteoarthritis, Joint pain, Migraine and Drug allergy, Concomitant products included SECUKINUMAB, MELOXICAM, CURCUMA LONGA RHIZOME, FISH OIL and MINERALS NOS, VITAMINS NOS, PAXLOVID for COVID-19 treatment from 22-May-2022 to 27-May-2022 who experienced the unexpected event of COVID-19 (AESI) 35 days after  4th dose of  mRNA-1273 vaccine. On 31-May-2022, SARS-CoV-2 test: positive The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.