Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Immunisation, Magnetic resonance imaging, Off label use
Clinical narrative: weird fluttering in the chest; took pulse it was racing and skipping; AFib; he got his booster shot of the Pfizer Covid 19 vaccine; he got his booster shot of the Pfizer Covid 19 vaccine; This is a spontaneous report from a contactable consumer (patient). A 65-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 3 via an unspecified route of administration on 18Aug2021 (Batch/Lot Number: FC3183) as DOSE 3 (BOOSTER), 0.3ML SINGLE for covid-19 immunisation. Medical history included ongoing dialating aortic root, anxiety and depression, premature ventricular contractions (PVCs) from an unspecified date and unknown if ongoing. Additional Information for Other Conditions: 41mL, slightly dilated, unchanged for 6 years, has an MRI and imaging every year, all of it was normal, has a normal aortic valve, no leakage, maybe mild regurgitation, nothing of importance or concern. The patient received the first dose (Lot number: EL1283, 0.3mL) on 12Jan2021 and second dose (Lot number: EL9265, 0.3mL) on 01Feb2021. Concomitant medications included paroxetine hydrochloride (PAXIL [PAROXETINE HYDROCHLORIDE]) taken for depression and anxiety from an unspecified start date and ongoing (on for 6 years); diazepam (VALIUM) taken for depression and anxiety from an unspecified start date and ongoing (been taking for about 6 years). The patient experienced Afib on 04Sep2021 and recovered on 04Sep2021. Caller states that he had an interesting occurrence, states he got his booster shot of the Pfizer Covid 19 vaccine, states he had both original vaccines in Jan and Feb2021, states 18 days after the booster he had his first ever incidence of Afib, states he self converted and required no intervention. States he was doing some research, noticed in a few studies printed in the (name withheld), there was some information about myocarditis in younger folks, states he is 65 and read that older folks were showing some 20 days out they were seeing some cases of pericarditis, states that pericarditis can also have an arrhythmia as a symptom, states he thought it was important for him to report his experience. Caller states he was in the emergency room for just half the day, states they did not have to have any conversion, states he does not have risk factors for Afib, states he has had calcium scores and seen cardiology for 10 years. Caller states that it was fine on its own, all tests were normal, states it was transient. Caller states to treat the event, the doctor did put him on a low dose beta blocker, states it slowed heart rate down, taking 12.5mg, is also on Eliquis as a precaution for stroke risk. Caller states he will follow up again in a couple of weeks and talk about being taken off of the blood thinner, states he does not want to be on a blood thinner his whole life. Got Booster on 18Aug2021, states he was one of the early people to get the first two doses of the vaccines due to his relationship with the hospital as a donor. States he received the first dose on 12Jan2021 and second dose 01Feb2021 and third dose on 18Aug2021. States on 04Sep2021 he woke up that morning, laying in bed around 7AM and had weird fluttering in the chest, took pulse it was racing and skipping, caller states he was used to having periodic PVCs which everyone has, states they had been diagnosed benign before, prior to vaccine, states this was different on the morning of 04Sep2021, states his heart was racing/fluttering, did a couple of things like the Valsalva Maneuver to try and change it, states that did not work, he then called 911 they came out and hooked him to EKG, saw he was in Afib, took him into the hospital ER, he was monitored, had a chest x ray, an echo, everything was normal, states he converted spontaneously the same day and went home. States he then followed up with the doctor 3 days later, echo results normal. The outcome of Afib was recovered on 04Sep2021, of other events was unknown.