Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest X-ray, Chest discomfort, Chest pain, Chills
Clinical narrative: The chest pain diminished to the same tightness/pressure that I previously was experiencing; The chest pain diminished to the same tightness/pressure that I previously was experiencing; BP in the ambulance was 175/100; Felt lightheaded; Woke up at 1:30 AM with a sharp pain in my left arm and tingling (pins and needs in my forearm); Woke up at 1:30 AM with a sharp pain in my left arm and tingling (pins and needs in my forearm); Shivering on the floor; Fever of 100.2.; pain in joints/muscles.; pain in joints/muscles.; dose 3; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 35 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 30Nov2021 (Lot number: FJ1611) at the age of 35 years as dose 3 (booster), single for covid-19 immunisation. The patient had no relevant medical history. Concomitant medication(s) included: METHYLPHENIDATE. Vaccination history included: Bnt162b2 (Dose Number: 2, Batch/Lot No: EW0173, Location of injection: Arm Left), administration date: 29Apr2021, when the patient was 34 years old, for COVID-19 Immunization; Bnt162b2 (Dose Number: 1, Batch/Lot No: ER8730, Location of injection: Arm Left), administration date: 08Apr2021, when the patient was 34 years old, for COVID-19 Immunization. The following information was reported: IMMUNISATION (medically significant) with onset 30Nov2021, outcome "unknown", described as "dose 3"; CHEST PAIN (medically significant), CHEST DISCOMFORT (medically significant) all with onset 20Dec2021 01:30, outcome "recovering" and all described as "The chest pain diminished to the same tightness/pressure that I previously was experiencing"; PAIN IN EXTREMITY (non-serious), PARAESTHESIA (non-serious) all with onset 20Dec2021 01:30, outcome "recovering" and all described as "Woke up at 1:30 AM with a sharp pain in my left arm and tingling (pins and needs in my forearm)"; DIZZINESS (non-serious) with onset 20Dec2021 01:30, outcome "recovering", described as "Felt lightheaded"; CHILLS (non-serious) with onset 20Dec2021 01:30, outcome "recovering", described as "Shivering on the floor"; BLOOD PRESSURE ABNORMAL (non-serious) with onset 20Dec2021 01:30, outcome "recovering", described as "BP in the ambulance was 175/100"; PYREXIA (non-serious) with onset 20Dec2021 01:30, outcome "recovering", described as "Fever of 100.2."; ARTHRALGIA (non-serious), MYALGIA (non-serious) all with onset 20Dec2021 01:30, outcome "recovering" and all described as "pain in joints/muscles.". The events "the chest pain diminished to the same tightness/pressure that i previously was experiencing", "the chest pain diminished to the same tightness/pressure that i previously was experiencing", "woke up at 1:30 am with a sharp pain in my left arm and tingling (pins and needs in my forearm)", "woke up at 1:30 am with a sharp pain in my left arm and tingling (pins and needs in my forearm)", "felt lightheaded", "shivering on the floor", "bp in the ambulance was 175/100", "fever of 100.2.", "pain in joints/muscles." and "pain in joints/muscles." were evaluated at the emergency room visit. The patient underwent the following laboratory tests and procedures: blood pressure measurement: 175/100; blood test: unknown results; body temperature: 100.2; cardiac stress test: couldn't find anything seriously wrong; chest x-ray: unknown results; electrocardiogram: unknown results. Therapeutic measures were taken as a result of chest pain, chest discomfort, paraesthesia, chills, blood pressure abnormal, pyrexia, arthralgia, myalgia. Therapeutic measures were not taken as a result of pain in extremity, dizziness. clinical course:Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination Woke up at 1:30 AM with a sharp pain in my left arm and tingling (pins and needs in my forearm) - chest pressure felt more acute. Called 911 (fear of a potential heart attack). Felt lightheaded. Chewed 4 baby aspirin per Dispatcher in addition to the 1 I had already swallowed. Shivering on the floor when EMT's arrived and started an EKG. BP in the ambulance was 175/100. Fever of 100.2. Transported to Hospital. Doctors ran multiple sets of blood work, chest x-ray, EKG, and treated with 3 doses of nitroglycerin. The chest pain diminished to the same tightness/pressure that I previously was experiencing and the sharp pain in my arm subsided but still felt sore and tingly. Hospitalist advised doing a stress test and consultation with PCP as they couldn't find anything seriously wrong. Did the stress test after discharge from the ED. 13 minutes on the treadmill and no major changes in my pain (arm or chest). Cardiologist found no issues. Ongoing chest pain and pain in joints/muscles.  No follow up attempt are needed, No further information expected.