Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Costochondritis, Dysphagia, Insomnia, Musculoskeletal stiffness
Clinical narrative: Pericarditis; Pain and numbness of left side of brain; Neck Stiffness and Pain; Neck stiffness and pain; pain that casually radiated to left jaws and left side of the brain the pain was on the left side of the throat, neck, jaw and head; Nocturnal panic attack and heart palpitation; Nocturnal panic attack and heart palpitation; Small thyroid cyst; Chest Pain; The initial case was missing the following minimum criteria: unspecified adverse event. Upon receipt of follow-up information on (18Jan2022), this case now contains all required information to be considered valid.  A 33-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), administration date 17Oct2021 (Lot number: FH8027) as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "tooth extraction" (unspecified if ongoing). Concomitant medication(s) included: FLU, administration date 03Oct2021; IBUPROFEN taken for tooth extraction, start date: 01Oct2021, stop date: 03Oct2021; AMOXICILLIN taken for tooth extraction, start date: 01Oct2021, stop date: 05Oct2021. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE, Anatomical site of injection: Lot: Pfizer ER8737), administration date: 28Mar2021, for COVID-19 Immunization; Bnt162b2 (DOSE 2, SINGLE, Anatomical site of injection: Lot: Pfizer ER8736), administration date: 18Apr2021, for COVID-19 Immunization. The following information was reported: PERICARDITIS (medically significant), outcome "unknown", described as "Pericarditis"; CHEST PAIN (medically significant) with onset 24Oct2021 14:00, outcome "not recovered", described as "Chest Pain"; MUSCULOSKELETAL STIFFNESS (non-serious) with onset 15Nov2021, outcome "not recovered", described as "Neck Stiffness and Pain"; NECK PAIN (non-serious) with onset 15Nov2021, outcome "not recovered", described as "Neck stiffness and pain"; PAIN (non-serious) with onset 15Nov2021, outcome "not recovered", described as "pain that casually radiated to left jaws and left side of the brain the pain was on the left side of the throat, neck, jaw and head"; HYPOAESTHESIA (non-serious) with onset 20Nov2021, outcome "not recovered", described as "Pain and numbness of left side of brain"; PANIC ATTACK (non-serious), PALPITATIONS (non-serious) all with onset 01Nov2021, outcome "recovered with sequelae" and all described as "Nocturnal panic attack and heart palpitation"; THYROID CYST (non-serious) with onset 01Nov2021, outcome "recovered with sequelae", described as "Small thyroid cyst". The events "chest pain", "nocturnal panic attack and heart palpitation", "nocturnal panic attack and heart palpitation" and "small thyroid cyst" were evaluated at the emergency room visit. The patient underwent the following laboratory tests and procedures: electrocardiogram: (24Oct2021) unknown, notes: No abnormalities found; (26Oct2021) unknown, notes: No abnormalities found; (12Nov2021) unknown, notes: No abnormalities found; (05Jan2022) unknown, notes: Historic changes in EKG; magnetic resonance imaging: (05Jan2022) unknown, notes: Clinical Follow-ups MRI; sars-cov-2 test: (14Oct2020) negative; (15Dec2020) negative; ultrasound scan: (unspecified date) unknown, notes: Small thyroid cyst. Therapeutic measures were taken as a result of chest pain included Ibuprofen for anti-inflammatory. Therapeutic measures were not taken as a result of musculoskeletal stiffness, pain, hypoaesthesia, panic attack, palpitations. Clinical course: Few days after the vaccination the patient started to develop severe chest pain. After visiting ER for three time on 24Oct2021, 26Oct2021 and 12Nov2021, no abnormalities in the EKG were found however on 05Jan2022 a cardiologist diagnosed possible mild pericarditis based on historic changes in the EKG and other clinical follow ups (MRI) were ordered.  In addition, a month after the vaccine the patient started to have some neck stiffness and pain that casually radiated to left jaws and left side of the brain the pain was on the left side of the throat, neck, jaw and head. Ultrasound showed a small thyroid cyst (nodule) that according to doctors was unlikely to create any pain further Duplex/Carotid ultrasound was ordered to check the blood flow in the neck area and the test are not done yet. For a while the patient had nocturnal panic attacks and heart palpitation.  No follow-up attempts are possible. No further information is expected.