Sex: F
Vaccine: COVID19
Symptoms: Haemochromatosis, Magnetic resonance imaging heart, Myocardial infarction, Troponin, Troponin increased
Clinical narrative: Heart attack; Hemochromatosis; Enzyme troponin showed up; The initial case was missing the following minimum criteria: specific suspect drug. Upon receipt of follow-up information on 30Dec2022, this case now contains all required information to be considered valid.  This is a spontaneous report received from contactable reporter (Consumer or other non HCP), Program ID: (Unknown). The reporter is the patient.  A 65-year-old female patient received BNT162b2 (BNT162B2), as dose 1, single (Lot number: EP6955), as dose 2, single (Lot number: EP7534), as dose 3 (booster), single (Lot number: FF8841) and as dose 4 (booster), single (Lot number: FJ9943) for COVID-19 immunisation; atorvastatin (ATORVASTATIN), (ongoing) (Batch/Lot number: unknown) at 20 mg 1x/day for blood cholesterol abnormal; lisinopril (LISINOPRIL), (ongoing) (Batch/Lot number: unknown) at 20-25 mg, 2x/day for hypertension. The patient's relevant medical history included: "High blood pressure" (ongoing); "Cholesterol" (ongoing); "Heart murmur", start date: 21Dec1956 (ongoing). Concomitant medications included: HYDROCHLOROTHIAZIDE taken for hypertension (ongoing); NP THYROID (ongoing). The following information was reported: MYOCARDIAL INFARCTION (hospitalization, medically significant) with onset 04Oct2022, outcome "recovered", described as "Heart attack"; TROPONIN INCREASED (non-serious) with onset 05Oct2022, outcome "recovering", described as "Enzyme troponin showed up"; HAEMOCHROMATOSIS (non-serious), outcome "unknown", described as "Hemochromatosis". The patient was hospitalized for myocardial infarction (start date: 05Oct2022). The events "heart attack" and "enzyme troponin showed up" required emergency room visit. The patient underwent the following laboratory tests and procedures: Angiogram: (unspecified date) Unknown results; Blood test: (unspecified date) Unknown results; Cardiac monitoring: (unspecified date) Unknown results; Cardiac stress test: (unspecified date) Unknown results; Echocardiogram: (unspecified date) Unknown results; Magnetic resonance imaging heart: (unspecified date) Unknown results; Troponin: (05Oct2022) Showed up. The action taken for atorvastatin and lisinopril was dosage not changed. Therapeutic measures were taken as a result of myocardial infarction, troponin increased. Clinical course: The patient reported that she recently had a heart attack. She was admitted to emergency on 05Oct2022. The enzyme troponin showed up but subsided around 10AM on 05Oct2022. While there, she was put on Metoprolol and Eliquis. Echocardiogram, angiogram, MRI of her heart, and all kinds of blood work (blood was drawn throughout her stay) were performed. She had a stress test since and was currently wearing a heart monitor. She does have a heart murmur but still no cause. The patient also reported that she does have hemochromatosis (unspecified onset date). Additional information: Lisinopril and Hydrochlorothiazide start date: 20 years, Atorvastatin start date: 10 years, NP Thyroid start date: 4 years prior to the time of the report.