Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: diagnosed with coronary vasospasm; chest pain for 10 minutes and it went down through her arm and she was nauseous and thought she could walk it off and she was fine and did that for 10 minutes and got sick and she had to go; it was a pressure, painful but pressure; arm a little sore; tired; weird taste in her mouth; got nauseous; tingling pins and needles in her bottom jaw; This is a spontaneous report from a contactable consumer (patient).   A 44-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose via an unspecified route of administration, administered in Arm Left on 05Apr2021 11:30 (Batch/Lot Number: ER8737) as SINGLE DOSE for covid-19 immunisation. She added it is to protect herself and she takes care of her mom next month and she had hers and she also works with the public at store and it is the right thing to do to not keep spreading the awfulness. No prior vaccinations within 4 weeks and no additional vaccines administered on the same date as the COVID-19 Vaccine. Medical history included ulcer, irritable bowel with constipation, tired a lot and just that her doctor said to take a multivitamin and knows B and D are good, sinus infection 2-3 weeks ago and he told her to do sulfer antibiotics, risk factors of high blood pressure, overweight, and a smoker. Concomitant medication included linaclotide (LINZESS) taken for irritable bowel with constipation from an unspecified start date (started taking over 5 years ago) and ongoing; hydrochlorothiazide, lisinopril (LISINOPRIL HCTZ) taken for high blood pressure from an unspecified start date (started taking over 15 years ago) to 10Apr2021 (stopped taking on 10Apr2021, her last dose was 09Apr2021); colecalciferol (VITAMIN D3) taken for an unspecified indication from an unspecified start date (started taking about 1 year ago, after Covid came out and fiance, tested him and it was low and takes because going around) and ongoing; cyanocobalamin (VITAMIN B12 [CYANOCOBALAMIN]) taken for supplementation therapy (reported as tired a lot and just that her doctor said to take a multivitamin and knows B and D are good) from an unspecified start date (started about 6months ago) and ongoing; curcuma longa (TURMERIC [CURCUMA LONGA]) taken for as tired and heart healthy and she heard good things and thought she would try it from an unspecified start date (started about 6 months ago) and ongoing; vaccinium macrocarpon (CRANBERRY) taken for an unspecified indication from an unspecified start date (started 2-3 weeks ago) and ongoing. The patient also concomitantly took "Tantoprazole" (at 40mg once a day by mouth) started taking over 5 years ago and ongoing, states she took it that morning for ulcers; Dietary fiber (at 25 4 grams by mouth once a day) started taking over a year ago and ongoing after she lost her insurance and couldn't get the medication for her irritable bowel and was taking 2 a day and when she got insurance back and the medication back and still takes 1 a day and helps go to the bathroom; chewable immune support formula (by mouth daily) and ongoing and stated that it is like airborne, it has Vitamin C plus 13vitmains and she started taking this about 2 weeks ago VitC plus 13 vitamis started about 2 weeks ago; ongoing Culturelle Probiotic lactobacillus rhamnosus (40 mg) started over a year to a year and a half ago when she lost her insurance and had problems with irritable bowel with constipation and figured it can't hurt to keep taking. The patient added that she was not taking anything new, she has been on them a long time but will list in case the shot counteracts with a medication. The patient further added she was taking Lisinopril HCTZ for the last 15 years and has had high blood pressure for 20 years and was 1st on Capazoid and was changed to this. She states it is in a pharmacy filled see through bottle and the pill had BO3 on one side and LL on the other side. States she stopped taking it, her last dose was 09Apr2021 and the cardiologist switched her to 2 new medications. The Capazoid, she is not sure of spelling, was for about 5 years and it was Captopril and HCTZ and it was 15-20 years ago and she does not know the dose. It was also stated that she took her morning pills the day of the shot but didn't take her 3 afternoon pills. She went to the doctor for a sinus infection 2-3 weeks ago and he told her to do sulfer antibiotics and took that and she had problems going to the bathroom and the prescription for the UTI was too expensive so she got the over the counter and figured she would take Cranberry to keep it at bay. The patient does not know the name of the antibiotic, the dose, NDC, lot or expiry date states it was about 3 weeks ago. The pharmacist told her fiance that the over the counter was just as good as the AZO. It was also reported that the patient previously had prior vaccinations: sore arm with the flu shot, caller does not have name, dose, NDC, lot or expiry to provide. It was nowhere near the soreness from the Covid shot, it hurt to lift her arm. The patient can be heard asking if her fiance would like to make a report about being tired and having a sore arm after his shot. The patient and fiance decline to make a report. No further details provided.  It was reported that the patient is calling to report the side effects she had with the 1st vaccine and what she went through after that and have it recorded and see if anyone else is having the same issue. She states if she can get answers that would be great. Her cardiologist can't confirm or deny if what she experienced was from the vaccine. States she had some immediately after and some happened a couple days later. States some of the stuff is on the sheet but not the severe stuff and if we have more information than when she got the sheet it would be great. The cardiologist she saw in the hospital that said he could neither confirm or deny that it is from the vaccine, states her primary is not aware of this. The patient states she didn't report right away as she didn't think it was a big deal and then she had big issues on Friday and she had the vaccine on Monday. The patient got the vaccine on Monday 05Apr2021, her appointment was at 10:35. The patient got the shot and right after the Band-Aid was placed a couple of minutes she got a weird taste in her mouth and she didn't say anything. She has donated plasma and knows there can be a metallic taste and it was just a shot and whatever it was a funny taste. She sat for the 15 minutes and was fine and got in her car and got nauseous and thought maybe she didn't eat so she started to drive and was calling her fiance to see what he wanted to eat. She started to get tingling pins and needles in her bottom jaw and that was weird to her and she told her fiance about it and got off the phone. She got to the place and ate and the nausea got a little better but she still had the tingling in her bottom jaw. She went home and laid down to take a nap. Shen she got up it was gone and everything was fine. The next day her arm was a little sore and she was tired but that is normal. Her fiance got his and he was tired and so she didn't think anything of it, she works 2 jobs, one at home and also at Target and her first day back was 09Apr2021. States most of the day she was fine but on her last break she was having chest pain for 10 minutes and it went down through her arm and she was nauseous and thought she could walk it off and she was fine and did that for 10 minutes and got sick and she had to go. Her manager and coworkers were worried about her so she went to the urgent care across the street and was told there that she was having signs of a heart attack with her risk factors of high blood pressure, overweight, and a smoker. They gave her 4 baby aspirin and did an EKG and that came back fine and was told she could go up to the ER if she wanted, she asked what that would do and was told they would run blood work. The patient states it was a pressure, painful but pressure. She asked him if this could have to do with the Covid vaccine she got Monday and he said he didn't know but probably not. She told him her symptoms she has listed, the taste, nausea, pins and needles in the jaw and he hung his head and shook it and told her that is another sign of heart issue. The patient went home and laid down for a nap and when she woke up the chest pain was still there and her fiance said she was going to the hospital since the aspirin didn't help and she could go by ambulance or by car. He took her to the ER Friday and they really thought she was having a heart attack and did tests like EKG and X-Ray and those were fine. It was stated that they did a T enzyme for your heart and it was .03 and they said they wanted it below that, that it wasn't bad. She had that test again and it went up so she had a catheter the next day and was told it was not clogged arteries. The patient stated she was diagnosed with coronary vasospasm. It was clarified the name of the test as Troponin and it was .03 and they wanted it below that and had her stay for observation and said it can go up and is a sign of heart damage and heart attack 6-24 hours after the initial pain. The patient stated they gave her nitroglycerin and that helped with the chest pain and it opened all the blood vessels. Throughout the night her Troponin levels went up. She had a cardio cath Saturday and the cardiologist was surprised he thought there was blockage and would place a stent and there was not blockage and nothing wrong. He explained that her blood vessels were so constricted that her heart spasmed as it was not getting enough oxygen and was causing the pain. She asked him if it could be from the Covid vaccine and he said he could not confirm or deny as she is overweight, has high blood pressure and smokes but she has never had issues before. The reason she is calling is because the tingling in the bottom jaw started within 30-45 minutes after the vaccine and she had never had that before and she is not saying it is related or not. This may help other people may be having issues and may help give information to say maybe you shouldn't smoke right after the vaccine or if you have high blood pressure or are overweight you should stay longer. For the next one her cardiologist thinks she should get the 2nd one and she will pay more attention to the signs. She has an appointment tomorrow with her cardiologist and will double check and ask him as they ask you to let them know before the vaccine if you are on a blood thinner and when her Troponin was up they have her blood thinner Warfarin through the night in the hospital and wants to double check to see if that is still in her system and if it's ok to get the 2nd dose. The physician also changed her blood pressure medication she has been on for over 15 years (No further details provided). The patient added she was hospitalized on 09Apr2021 evening and discharged 10Apr2021 around 5pm. For the investigation the patient states after the heart cath. she had an echocardiogram where you lay on your side and they do an ultrasound of your heart. The patient does not know the result of the echocardiogram, assumes it's fine but doesn't know. She took a week off at work as she was told not to bend her wrist from the procedure and has a weight restriction so she is doing her computer job. It was also reported the normal arm soreness and tired are expected but the severe, it helps to report and keep track of and it may be isolated and it may not be. The outcome of the events was unknown. The events required emergency room and physician office visit.