Sample space of 4 people in 4 categories

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The problem is to find the number of elements in the sample space.

We have four patients and 4 categories of diseases.

Event A: All patients are in the same category

Event B: 2 patients belong to the same category

My question is why is the answer here $4^4$.

As far as I see it:

for one category (S...same category, D...different category):

A = {SSSS}

B ={SSDD, DSSD, DDSS, SDDS, SDSD, DSDS}

So why cant we just multiply 7 times 4 categories and get a sample space of 20?