Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin I
Clinical narrative: Severe pericarditis, fluid and swelling in 2 left heart chambers; Fluid an pressure resulted in an arteroseptical infarction, and possible myocardial infarction\Myocardial infarction; Could not breathe; Pleurisy around both lungs; Bottom lobes of both lungs had collapsed; Cardiac aorta; Pain; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 63-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 25Jul2022 at 12:45 as dose 4 (booster), single (Lot number: FP7138) at the age of 63 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Depression" (unspecified if ongoing), notes: Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma; "Anxiety" (unspecified if ongoing), notes: Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma; "Seasonal allergies" (unspecified if ongoing), notes: Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma; "Occasional seasonal asthma" (unspecified if ongoing), notes: Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma; "Known allergies: Yes" (unspecified if ongoing), notes: Known allergies: Yes. The patient took concomitant medications. Vaccination history included: BNT162b2 (lot number = FJ8757, administration time = 04:30 PM, dose number = 3, Prev dose vaccine location = Right arm), administration date: 17Nov2021, when the patient was 63-year-old, for COVID-19 immunization; BNT162b2 (lot number = EW0151, administration time = 05:00 PM, dose number = 2, vaccine location = Right arm), administration date: 16Apr2021, when the patient was 62-year-old, for COVID-19 immunization; BNT162b2 (lot number = EN6204, administration time = 05:30 PM, dose number = 1, vaccine location = Left arm), administration date: 19Mar2021, when the patient was 62-year-old, for COVID-19 immunization. The following information was reported: ATELECTASIS (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Bottom lobes of both lungs had collapsed"; AORTIC DISORDER (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Cardiac aorta"; DYSPNOEA (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Could not breathe"; MYOCARDIAL INFARCTION (medically significant, life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Fluid an pressure resulted in an arteroseptical infarction, and possible myocardial infarction\Myocardial infarction"; PAIN (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae"; PLEURISY (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Pleurisy around both lungs"; PERICARDITIS (medically significant, life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Severe pericarditis, fluid and swelling in 2 left heart chambers". The events "severe pericarditis, fluid and swelling in 2 left heart chambers", "fluid an pressure resulted in an arteroseptical infarction, and possible myocardial infarction\myocardial infarction", "could not breathe", "pleurisy around both lungs", "bottom lobes of both lungs had collapsed", "cardiac aorta" and "pain" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Nasopharyngeal swab: (06Aug2022) Negative, notes: Covid test name post vaccination = Unknown, given in ER. Therapeutic measures were taken as a result of pericarditis, myocardial infarction, dyspnoea, pleurisy, atelectasis, aortic disorder, pain.  Clinical course: Adverse event: Woke up at 3AM, could not breathe. Went to ER. After numerous tests, I had pleurisy around both lungs, bottom lobes of both lungs had collapsed, severe pericarditis, fluid and swelling in 2 left heart chambers, pressure on my cardiac aorta, fluid and pressure resulted in an arteroseptical infarction, and possible myocardial infarction. I ALMOST DIED! Could not be treated with pleurisy drugs because they are designed to deal with bacteria. Could not have pain medicine because of what was happening. The reaction slowly subsided after being treated with 3 asthma medications at the same time, with Oxygen via breathing treatment. The only thing given for pain was Toradol via INT in hand. The pain and suffering were horrible WAS DYING. AE treatment: 3 asthma drugs mixed together + oxygen, breathing TX. If covid prior vaccination: No, if covid tested post vaccination: Yes