Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram, Pericarditis
Clinical narrative: Pericarditis; Chest pain; This is a spontaneous report from a contactable consumer. This consumer (patient's mother) reported that a 24-year-old female patient received bnt162b2 (COMIRNATY), dose 2 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation.  Medical history was not reporters. Family history included aortic dissection from her mother, Abdominal Aortic Aneurysm from her grandparent, couple regurgitation sites on 2 valves from brother, myocarditis and endocarditis from brother. The patient's concomitant medications were not reported. Patient received the first dose of bnt162b2 (COMIRNATY) on unknown date. Caller is a physician's assistant inquiring about exemptions for the Pfizer Covid-19 vaccine. Caller states "my dad had an Abdominal Aortic Aneurysm, I had an aortic dissection 2 years ago. We were told to have genetic testing done for my kids because that was odd and they found 2 different genes that were abnormal, all my children had ECHOs done to measure their aorta. It develops in utero. My daughter was forced to get Pfizer shot and developed pericarditis within 24 hours from the second dose a shot, a shot, I'm not picking on you guys. My son also needs it for his job, but he has endocarditis/myocarditis. His tricuspid and pulmonic valve are regurging. I know the Johnson and Johnson created clot problems. If he develops pericarditis with his family and valvular history, it's just not necessary, is this something that he could get an exemption for? Caller states that she is calling in regards to the Pfizer Covid Vaccine. Her daughter got it, and got pericarditis. Her daughter is 24 years old. The reason she is calling is because she has a son that is 23 years old. Caller interrupts herself, in order to elaborate further saying that her father has abdominal aortic aneurysm disease. Caller states that she herself had an Aortic dissection, since she was informed this disease is hereditary, caller got a genetic test done for it, caller states that she herself did have the genetic test abnormality in Notch 1 and Mat 2A. When she got her results she was advised to have the children get tested, since this has to do with the Aorta, it's an Aortic type of gene in which there is a Utero mutation. Her son has completed the testing and got an echocardiogram, in which the results that came back showed a couple regurgitation sites on 2 valves. Caller states that her Daughter has not done the tests, she works in a hospital and was forced to get shot, and then got pericarditis. Caller asks does this genetic mutation qualify for her son to not get the shots. Caller states that she has got the inserts and read everything on Adverse events, like myocarditis and endocarditis which her son has and doesn't believe it is safe for him to get the shot. Caller states that she can do the safety report at another time, she is willing to provide information for the survey. At the moment she is calling for her question. Caller declines safety report at this time and request to do it later. Caller states that she is a Physician Assistant. Caller confirms that her son has not received any covid vaccine, but she knows that they are going to require it pretty soon. Caller states that her daughter still has chest pain, the only good thing is that she works with cardiologist at work. Caller would like to know if there are any cardiac contraindications for the Vaccine. Outcome of event chest pain was not recovered, of Pericarditis was unknown.   The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.; Sender's Comments: As there is limited information in the case provided, the causal association between the events pericarditis and chest pain and the suspect drug Comirnaty cannot be excluded. The case will be reassessed once new information is available.