had a positive covid test this morning; had a positive covid test this morning; This is a spontaneous report received from a contactable reporter(s) (Physician).  A 77-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; BNT162b2 (BNT162B2), as dose 1, single (Batch/Lot number: unknown), as dose 2, single (Batch/Lot number: unknown) and as dose 3 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "high blood pressure" (unspecified if ongoing), notes: her husband is pretty healthy, he goes to cardiologist. Initially caller states that her husband doesn't take any medications for high blood pressure, her husband has PVC's.; "her husband has PVC's" (unspecified if ongoing), notes: her husband is pretty healthy, he goes to cardiologist. Initially caller states that her husband doesn't take any medications for high blood pressure, her husband has PVC's.; "thyroid replacement" (unspecified if ongoing), notes: Caller then asks her husband during the call and he informs her that he is on Hydrochlorothiazide, caller believes that is for high blood pressure she guesses, he is also on Synthroid for thyroid replacement. Concomitant medication(s) included: SYNTHROID taken for thyroid hormone replacement therapy; HYDROCHLOROTHIAZIDE taken for hypertension.  The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 20Oct2022, outcome "unknown" and all described as "had a positive covid test this morning". The patient underwent the following laboratory tests and procedures: Body height: (unspecified date) he used to be 6 feet 5 inches; SARS-CoV-2 test: (20Oct2022) Positive; (20Oct2022) Positive; Weight: (unspecified date) Maybe 220lbs. Clinical course: Called is a Retired doctor. She is calling in regard to Paxlovid. Agent states that she is transferring for potential off label use. She called the hospital, to ask if her husband can start Paxlovid, and the hospital told them that they do not prescribe Paxlovid and don't give this medication till after 5 days of being sick. Agent states that the prescriber information says to give Paxlovid within 5 days of being sick. She called to find out when her husband should start Paxlovid, speak about what she heard from the hospital.  Caller clarified that it was actually her husband that called the hospital, when her husband told her that he was told that he had to wait 5 days, she decided to call Pfizer, the source and see what she could find out. Caller states that she thought why waste 5 days and see how sick he gets. Caller states that both her and her husband are vaccinated, they both got the 4th booster, she not worried, however her husband is 77 years old, and he has suddenly became sick yesterday, he was not Short of breath, but he has a constant cough, has nasal congestion, and is feeling bad. Caller is hesitant in going through the safety report, that she does not know formally if they have an off label use of a drug, Pfizer has to contact the hospital. Caller states that she is questioning how far off label use this would be of the drug, in her mind when she thinks of of off label use that means it is for a different indication. She objects to having the wrong information given to somebody, she doesn't know who her husband spoke with at the hospital, it sure wasn't a physician. Caller states that she thinks she should call the hospital and tell them they are giving information that is incorrect.  Reporter Type: Caller clarified that she is a Retired Physician, when probed for specialist she states that actually professionally she is a Retired Dermatologist. Caller clarified her Husband is also a retired doctor and he is a Retired Pulmonologist. Caller also confirms that her husband has not been prescribed Paxlovid.  She believes that her husbands previous covid vaccines doses were all Pfizer. When probed for his Vaccine dates caller states that she does not have this readily available but that is information she is able to get. Caller was probed when her husband had a positive covid test, she explains that yesterday he just felt like he was not right, then he went out and last night he started coughing fairly consistently, he is not shot of breath, but he is is sneezing, he has nasal congestion, and he did not have a fever, he has no sore throat, he does have a persistent constant cough. Her husband had a positive covid test this morning, caller clarified that an at home test was used. Caller confirms she has No Lot number for the Paxlovid as her husband has not been prescribed this product. When probed for dates of vaccination and Lot number caller again states that she doesn't have that available at the moment, and cannot provide this right now, she will provide this information as follow up. Medical Conditions: her husband is pretty healthy, he goes to cardiologist. Initially caller states that her husband doesn't take any medications for high blood pressure, her husband has PVC's. Caller then asks her husband during the call and he informs her that he is on Hydrochlorothiazide, caller believes that is for high blood pressure she guesses, he is also on Synthroid for thyroid replacement. Caller states that she probably should have had her husband go to hospital instead of calling. However she doesn't think the hospital would want to see him, but  with his positive test and his age he should have gone there. Caller does not want a misunderstanding, her husband is not desperately sick, she just felt he is suddenly ill and now has this terrible cough, they should have been prescribed the medication, she will probably call over to the hospital and tell them that someone is giving wrong information. Caller clarified that She herself is totally well, she is surprise that her husband got it, she knows this is happening frequently around the country, she is glad they are fully vaccinated, it gives her comfort about it, there are people successful and she wants to be successful. Caller states that both her and her husband are vaccinated, they both got the 4th booster, she not worried, however her husband has suddenly became sick yesterday, he was not Short of breath, but he has a constant cough, has nasal congestion, and is feeling bad. She believes that her husbands previous covid vaccines doses were all Pfizer. When probed for his Vaccine dates caller states that she does not have this readily available but that is information she is able to get.   The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5, BNT162b2 has been requested and will be submitted if and when received.; Sender's Comments: Vaccine efficacy varies from person to person and is affected by many factors. However, the association between the event lack of efficacy (COVID-19) with the suspect vaccine can not be fully excluded.