Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthritis, Cardiac disorder, Hypertension, Intervertebral disc degeneration, Mobility decreased
Clinical narrative: Heart condition now, had a heart attack; Heart condition now; circulation problems in my spine; constant pain; loss of sensation in limbs; arthritis; This is a spontaneous report received from a contactable reporter(s) (Other HCP). The reporter is the patient.  A 32-year-old male patient received BNT162b2 (BNT162B2), on 02Apr2021 at 12:00 as dose 1, single (Batch/Lot number: unknown) at the age of 30 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "COVID-19" (unspecified if ongoing), notes: If covid prior vaccination: Yes. The patient's concomitant medications were not reported. The following information was reported: CARDIAC DISORDER (disability, life threatening) with onset 18Apr2022, outcome "not recovered", described as "Heart condition now"; MYOCARDIAL INFARCTION (disability, life threatening) with onset 18Apr2022, outcome "not recovered", described as "Heart condition now, had a heart attack"; ARTHRITIS (disability, life threatening) with onset 18Apr2022, outcome "not recovered"; SPINAL VASCULAR DISORDER (disability, life threatening) with onset 18Apr2022, outcome "not recovered", described as "circulation problems in my spine"; PAIN (disability, life threatening) with onset 18Apr2022, outcome "not recovered", described as "constant pain"; SENSORY LOSS (disability, life threatening) with onset 18Apr2022, outcome "not recovered", described as "loss of sensation in limbs". The events "heart condition now, had a heart attack", "heart condition now", "circulation problems in my spine", "constant pain", "loss of sensation in limbs" and "arthritis" required physician office visit and emergency room visit. Therapeutic measures were taken as a result of myocardial infarction, cardiac disorder, spinal vascular disorder, pain, sensory loss, arthritis. Clinical course: Patient had vaccine at Doctor's office/urgent care. No Other vaccine in four weeks. Heart condition now, had a heart attack, circulation problems in my spine, constant pain and loss of sensation in limbs, arthritis, not overweight, was very healthy before any of this. Treatment for adverse event: Blood pressure medication, physical therapy, etc. Patient was not tested for covid post vaccination. There was no Known allergies.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.; Sender's Comments: Based on the current available limited information in the case provided, the causal association between the events Myocardial infarction , Cardiac disorder, Spinal vascular disorder, Pain , Sensory loss, Arthritis. and the use of suspect product comirnaty cannot be fully excluded. The impact of this report on the benefit-risk profile of the Pfizer product and on the conduct of the study is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.