positive for covid; positive for covid; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP).  A 71-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 16Sep2022 as dose 5 (booster), single (Lot number: GH9694) at the age of 70 years, in left arm for covid-19 immunisation; BNT162b2 (BNT162B2), on 20Feb2021 as dose 1, single (Lot number: EM9809), in left arm, on 12Mar2021 as dose 2, single (Lot number: EN6206), in left arm, on 28Sep2021 as dose 3 (booster), single (Lot number: FF8839), in left arm and on 07Apr2022 as dose 4 (booster), single (Lot number: PP4554), in left arm for covid-19 immunisation. The patient's relevant medical history included: "Fatty liver" (ongoing); "blood pressure" (unspecified if ongoing), notes: takes a lot of vitamins every day and one blood pressure medicine; "hand tremor" (unspecified if ongoing), notes: and the other is losartan and the hand tremor medication she takes is propanolol. Concomitant medication(s) included: PROPANOLOL [PROPRANOLOL] taken for tremor; LOSARTAN [LOSARTAN POTASSIUM] taken for blood pressure measurement. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 23Dec2022, outcome "unknown" and all described as "positive for covid". The event "positive for covid" required emergency room visit. The patient underwent the following laboratory tests and procedures: Antibody test: (unspecified date) Unknown results; tests for flu: (unspecified date) Covid, notes: it turned out she had covid; Nasopharyngeal swab: (unspecified date) Negative, notes: throat swab to see if it was strep and it was negative for flu and strep; SARS-CoV-2 test: (23Dec2022) Positive; (unspecified date) Positive; (unspecified date) Positive; Streptococcus test: (unspecified date) Covid, notes: it turned out she had covid. Therapeutic measures were taken as a result of vaccination failure, covid-19.  Clinical course: She had five Pfizer Covid shots so she has had every vaccination they are supposed to have. The Pfizer covid vaccines were usually in her left arm and the time given she thinks was mostly early in the day before 3:00pm. No prior vaccinations within 4 weeks prior and she has not had a shot in a long time. Had arm sorness and breezed through the vaccines with no issues and probably had the sore arm for more than half a day but does not know which vaccine dose it is associated with. when she went into the hospital on Friday, she thought she had strep throat but ended up where they did three tests for flu, covid and strep and it turned out she had covid and she did not feel that bad so they gave her the Paxlovid prescription, she picked it up and took it and by the 2nd day she was having some problems and by the 3rd day was when she started having the diarrhea. She began Paxlovid when she was in the emergency room on Friday and had gotten sick on Wednesday, stayed home Thursday and slept most of day and still had the cough and thought it was strep throat so then went to the emergency room and the doctor office was closed that morning so began taking Paxlovid on 23Dec2022. Kind of hoping she waddle through it regarding taking Paxlovid and states she had some pain in her back and has a fatty liver so it is not like the best medicine for her; the fatty liver she was told she had a year and half ago; Was diagnosed with covid on Friday and had two covid nose swabs and a throat swab to see if it was strep and it was negative for flu and strep and was positive for covid. They had not been sick or really bad sick and has a cough and she and her husband have been pretty good about using masks early on and the shots were great. She used to take a lot of vitamins every day and one blood pressure medicine and then clarified two different kinds of that and one is actually for a hand tremor she inherited from her dad and the other was losartan and the hand tremor medication she takes was propanolol. No further details provided. For and old lady she was really healthy; No other treatment or testing.