Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Brain natriuretic peptide, Chest X-ray, Computerised tomogram, Dizziness, Full blood count
Clinical narrative: HIGH BLOOD PRESSURE SPIKES 3-4 TIMES A WEEK; ULCERATIVE COLITIS FLARE UP; DIZZINESS AND LIGHTHEADEDNESS; INSOMNIA; LOSS OF APPETITE; SHORTNESS OF BREATH; LEGS FEEL WEIRD SOMETIMES (TINGLING AT NIGHT); HEART RATE STARTED RACING; This spontaneous report received from a patient (Doctor in nurse practitioner) concerned a 41-year-old female. The patient's height, and weight were not reported. The patient's past medical history included: covid-19, and concurrent conditions included: ulcerative colitis. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: 1802068 expiry: unknown) dose was not reported, frequency time 1 total administered in left deltoid on 05-MAR-2021 for prophylactic vaccination. No concomitant medications were reported.  On 05-MAR-2021 within 20 minutes after vaccination patient experienced having a blood pressure of 170/116, heart rate of 160s-170s. The patient continued to have High blood pressure spikes 3-4 times a week (crisis level). Patient continued to have heart rate increase episodes multiple times a day. Also lost 20-25 pounds since March-2021 and her pre-existing ulcerative colitis flared up the day after getting the vaccine, diarrhea due to colitis flare up the next day after vaccination and loss of appetite the day after getting the vaccine. Other symptoms included shortness of breath, dizziness, lightheadedness, legs feel weird sometimes (tingling at night) and insomnia. On the same day patient visited first hospital right after getting the vaccine. The patient stated that she had multiple repeats of such events with high blood pressure and heart starting to race. The first emergency room visit was within a week (07-MAR-2021). Recommendations made: Ruled out blood clot. The second ER visit was on the 10-MAR-2021 heart rate 145-150s, and blood pressure 170/120. The patient was started on Metoprolol and sent home. 1 week later on 17-MAR-2021 she went to the emergency room again with an elevated blood pressure and Heart rate. They checked her blood pressure and blood work and did several (about 4) computerized axial tomography scans of the chest to look for blood clots, but they did not have any diagnosis. No blood clots were found but D-dimer was elevated. On 16-APR-2021 patient went to the emergency room for blood pressure of 200/110 and then was admitted for two days until 18-APR-2021. During this stay checked her kidneys for secondary hypertension, did an ultrasound of the kidney and then the Cardiologist in the Hospital ruled out other renal sources of the symptoms and scheduled an outpatient magnetic resonance imaging of the kidneys. The magnetic resonance imaging was normal. Patient also did a cardiac stress test, tilt table test and ultrasound of kidneys, and lab work for hormones. The tilt table results were done on 19-MAY-2021 and were normal. Stress tests showed Preventricular contractions, but the Cardiologist stated that it was normal and patient had rate changes but not rhythm changes. Erythrocyte sedimentation rate was 92. Bubble study was done and it was normal. The patient had symptoms of autonomic nervous system, meaning that her heart rate and blood pressure increase when she is just standing. Went to the emergency room in late May or June for the same kind of symptoms and finally they told her we just do not know the reason for this and was recommended eastern medicine practices. The patient was getting medical massage treatments once a month. The patient was not diagnosed with Myocarditis but stated that it has not been ruled out. The patient was taking a water pill, and her blood pressure readings were much better. The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from ulcerative colitis flare up on 01-AUG-2021, and loss of appetite, and shortness of breath, was recovering from high blood pressure spikes 3-4 times a week, dizziness and lightheadedness, and heart rate started racing, and had not recovered from insomnia, and legs feel weird sometimes (tingling at night). This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender's Comments: V0: 20211009555-COVID-19 VACCINE AD26.COV2.S-high blood pressure spikes 3-4 times a week. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). 20211009555-COVID-19 VACCINE AD26.COV2.S-ulcerative colitis flare up. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY