Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Myocardial infarction, Physical examination
Clinical narrative: FIXED INFERIOR INFEROSEPTAL AND APICAL WALLS CONSISTENT WITH PRIOR INFARCT; LOW EJECTION FRACTION; LEFT BUNDLE BRANCH BLOCK; This spontaneous report received from a health care professional concerned a 60 year old white and non Hispanic/Latino male. The patient's height, and weight were not reported. The patient's concurrent conditions included: the patient was only taking vitamins at the time of vaccine administration and other pre-existing medical conditions included: the patient had no known drug allergies, no known chronic illnesses prior to receiving the vaccine, no known previous medical conditions and no previous medication use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: 21-JUN-2021) dose was not reported, 1 total, administered on 31-MAR-2021 for prophylactic vaccination to left arm. Concomitant medications included carvedilol, losartan and Vitamins. The patient's medical examinations were provided by the nurse during the call.  On 22-APR-2021, the patient went for annual physical and was found to have low ejection fraction of 29% and EKG showed a left bundle branch block,. On MAY-2021, the patient readings for ejection fraction was 30-35% via echocardiogram.  On 22-JUL-2021, the patient's lexiscan (Cardiac stress test) failed and showed fixed inferior inferoseptal and apical walls consistent with prior infarct (event coded) myoglobal hypokinesis with moderate hypokinesis of the apex  and left ventricular function is moderately to severely reduced with left ventricular ejection fraction (LVES) at 29%.  On 17-AUG-2021, the patient cardiac catheterisation doctor gave verbal report of no blockages but, the patient is waiting for written confirmation from cardiologist.  The patient was not hospitalized and did not require a visit to the emergency room.  The patient also mentioned that if cardiologist can not figure out what was going on then patient had to seek tertiary help in the form of support from perhaps a University.   The nurse also mentioned that had reported to VAERS on 20-AUG-2021 and provided a temporary e-report number of 619535. The nurse said the patient may follow up with additional information on now received patient's complaint and when probed for more details patient stated that patient will follow up with details after receiving VAERS report from health department of vaccination facility. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from low ejection fraction, and left bundle branch block, and the outcome of fixed inferior inferoseptal and apical walls consistent with prior infarct was not reported. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20210642793.; Sender's Comments: V0: 20210843055-covid-19 vaccine ad26.cov2.s- fixed inferior inferoseptal and apical walls consistent with prior infarct, low ejection fraction, left bundle branch block 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).