She tested positive for swabs for Covid-19; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 78-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PNEUMOCOCCAL 20-VAL CONJ VAC (DIPHT CRM197 PROTEIN)), in Jul2022 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: COVID-19 (non-serious), outcome "unknown", described as "She tested positive for swabs for Covid-19". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: She tested positive for swabs for Covid-19; tested positive twice. She has not even taken her morning medications or eaten. She has a page long of medications. She is on Oxygen on 2 and can go up to 4-5 if she needs to. She asks what she is supposed to do as she called about her pill and the agent told her to call her rheumatologist or primary care provider. Caller declines transfer and states she will call her rheumatologist. She was inflamed all over, she took 5 day medication, had all her shots and booster, and is on oxygen and cannot walk long distances. She is also post head injury and her blood sugar is down and she slept in for 2 hours and is feisty. She feels really good. Caller clarifies details provided by transfer agent. She took 1 dose in the morning and one at night because she picked up her pill box and was upside down and took another morning and now got all night pills sitting here. She feels okay. She is partially in a wheelchair and wanting to get out of the wheelchair and go back to the gym to do weight bearing exercises because she wants to be stronger than the disease, mentally, physically, and emotionally. She will be 79 years old in December. She cannot run out of oxygen and got news her lungs have changed. She is really kind of happy and normal lung capacity is 75 and for 5 years she has been 35 and last month a week before virus she had a pulmonary functions tests and up walking out of wheelchair and now 67 and that is great improvement and a week later she got the virus and was sick as a dog and thought was going to die in bed. Her friend sat in her living room for 3 days and 4 nights and she slept right through, hurt all over, was tired and weak, and peed in bed. She was unconscious with pain. She took the 5-day medication. Was hard for her to get better. She is really feeling good this morning more than usual. On 11Aug2022 she was either exposed or diagnosed with Covid. She could not walk and was weak and this gave her life back. She got the virus and was sick as a dog and thought was going to die in bed. She slept right through, hurt all over, was tired and weak, and peed in bed. She was unconscious with pain. She tested positive for swabs for COVID-19; tested positive twice. Product strength and count size dispensed: not provided  Follow-up attempts are completed. No further information is expected.  Amendment: This follow-up report is being submitted to amend previously reported information: Recode Pneumococcal 20-Val Conj Vac (Dipht CRM197 Protein) to the vaccine combination product #VCMB.