tested covid positive; fever; This is a spontaneous report from a contactable consumer (patient's wife). A 76-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in Arm Left on 21Jan2021 13:00 (Batch/Lot Number: EL0142) as single dose for COVID-19 immunisation. Medical history included patient had 2 stents, stents were placed 3 or 4 years ago (ongoing); diagnosed with blood pressure problems maybe 10 years ago or more, maybe 12 years ago and was ongoing; diagnosed with prostate problems 6 or 7 years ago and was ongoing; diagnosed with cholesterol problems 10 years ago and was ongoing. Concomitant medication(s) included acetylsalicylic acid (BABY ASPIRIN) at one tablet once daily prescribed by cardiologist after stent placement, has been taking for 3-4 years and ongoing; losartan (LOSARTAN) at 25 mg once daily for Blood pressure, has been taking for maybe 5 years, maybe more, maybe less and ongoing; tamsulosin hydrochloride (FLOMAX RELIEF) at 70 mg once daily for prostate, has been taking for 6 years, maybe 7 and ongoing; clopidogrel bisulfate (PLAVIX) at 75 mg once daily prescribed by cardiologist after stent placement (2 stents), has been taking for 3-4 years and ongoing; rosuvastatin calcium (CRESTOR) at 20 mg once daily for Cholesterol, has been taking for maybe 5 years, maybe more, maybe less and ongoing; metoprolol (METOPROLOL) at 20 or 25 mg once daily for Blood pressure, has been taking for maybe 5 years, maybe more, maybe less and ongoing. No additional vaccines were administered with the Pfizer vaccine considered as suspect. No prior vaccinations (within 4 weeks). Patient's last vaccine was the pneumonia vaccine in October. AE(s) following prior vaccinations was none. No family medical history relevant to AE(s). The patient received the first dose of the Pfizer covid vaccine on 21Jan2021, had fever for 3 days then on 27Jan2021 he tested covid positive. When they came home after the vaccine on 21Jan2021, the patient had a high temperature/fever for 3 days. The patient took Tylenol to help with fever. After this 3-day period, the patient's wife became sick with Covid-19 and she reported that she did not get the vaccine as she had antibodies and she did not need it. It was reported that she became ill and both she and her husband (patient) were tested for Covid-19 and the patient tested (Rapid Test) positive after receiving the first dose of the Covid-19 vaccine, 5 to 6 days later on 27Jan2021. When the patient tested positive for Covid-19, he felt fine and was no longer running a fever. They cancelled the second dose which was scheduled on 09Feb2021 due to covid. The patient was tested for antibodies on 11Mar2021, but it came back negative; it was 0.9. They wanted to know what to do next, how he can have antibodies for the covid and also about the timing of the second dose. Also asked, if the positive Covid-19 test was a reaction from the vaccine, it was Covid or the test was wrong. AE(s) did not require a visit to Emergency Room/Physician Office. Outcome of the event fever was resolved on 24Jan2021; covid-19 was unknown.  No follow-up attempts are possible. No further information is expected.