got COVID 19 after being completely vaccinated /was like having a bad cold or flu; got COVID 19 after being completely vaccinated /was like having a bad cold or flu; This is a spontaneous report received from contactable reporter (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 67-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 09Sep2022 at 12:30 as dose 5 (booster), single (Lot number: EW0172) at the age of 67 years, in right arm for COVID-19 immunization; BNT162b2 (BNT162B2), on 28Jan2021 as dose 1, single (Batch/Lot number: unknown), on 18Feb2021 as dose 2, single (Batch/Lot number: unknown), on 25Aug2021 as dose 3 (booster), single (Batch/Lot number: unknown) and on 31Mar2022 as dose 4 (booster), single (Lot number: FK9895) for COVID-19 immunization. The patient had no relevant medical history. The patient did not have prior vaccination within 4 weeks. Concomitant medication included: INFLUENZA VACCINE, in Sep2022 as dose number unknown, single. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 28Dec2022, outcome "unknown" and all described as "got COVID 19 after being completely vaccinated /was like having a bad cold or flu". The event "got covid 19 after being completely vaccinated /was like having a bad cold or flu" required physician office visit. The events were reported as non-serious. Clinical course: The patient had his most recent COVID 19 vaccine. He has completed a primary series and his booster doses. He got COVID-19 infection two weeks ago. He tested positive for COVID on 28Dec2022. He stated it was not bad, it was like having a bad cold or the flu. He was supposed to stay away from people with a mask on for 5 days, and then he can supposedly go back to work as long as he stays away from people. His next doctor's appointment wasn't until Jun2023. So, he hasn't even talked to his doctor about this. He tested positive at home, and called his doctor, but they told him to go to the walk in. He had to go to Walk in and take another test which was positive for COVID. His doctor put him on a Covid antiviral, LAGEVRIO (molnupiravir 200 mg capsules), for 5 days: 4 in the morning and 4 at night. The day after he finished the medication, he tested himself for COVID and was positive. He waited two days and tested again, and he was negative. He was testing negative for Covid-19 as of yesterday, 08Jan2023, and he would like to get the "new COVID-19 vaccine." He would give it another 48 hours, and test tomorrow. If he would be negative again, he thought that meant he no longer has the virus in his body. The pharmacy did tell him some people can test positive for a couple months or more. He waited two weeks after that last booster and got a Flu shot. The patient was asking if there are recommendations for "a third booster" in addition to his bivalent dose received 09Sep2022. He was trying to decide if he needed another one because his neighbor said she was going to get a third booster. He said he didn't know there was a third booster. He asked how much time he must wait after testing negative for COVID-19 until he can safely get another COVID-19 Vaccine. He also asked if blood clots have been reported as a side effect of the bivalent COVID-19 Vaccine. His last physical at the doctor was amazing. The doctor said he looked amazing that he didn't have to come in for a year. He was very healthy. The patient underwent the following laboratory tests and procedures: cholesterol: (unspecified date) 123; blood work: (unspecified date) everything was great; LDL: (unspecified date) 43; COVID: (28Dec2022) Positive, notes: tested positive at home, had to go to Walk in and take another test; (06Jan2023) Positive, notes: day after he finished the medication; (08Jan2023) Negative, notes: waited two days and tested again. Therapeutic measures were taken as a result of vaccination failure, covid-19.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.