Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Pericarditis, Respiratory syncytial virus infection, Sleep terror
Clinical narrative: RSV; thought it was heart attack; This all got way worse after 2nd shot; fatigue; Myocarditis; Pericarditis; Chronic Inflammation; High blood pressure; Muscle spasm; neck pain; Terrible stress; anxiety; chest pain; nausea; infection; sweats; night terrors; tension/tightness; shortness of breath; inability to exercise; This is a spontaneous report received from a Consumer or other non HCP.  A 41-year-old female patient received BNT162b2 (BNT162B2), on 30Apr2021 as dose 2, single (Lot number: EW0167) at the age of 41 years intramuscular for covid-19 immunisation. The patient's relevant medical history included: "Hypothyroidism of pregnancy", start date: Jan2020, stop date: 06Mar2020, notes: Pertinent details: During pregnancy only-Resolved after; "Asthma" (ongoing), notes: Take albuterol as needed(sports induced); "Septoplast", start date: Sep2017 (unspecified if ongoing); "Nasal stiffness", start date: Sep2017 (ongoing); "Surgery", start date: Sep2017 (unspecified if ongoing); "seasonal allergy" (unspecified if ongoing). There were no concomitant medications. Past drug history included: Erythromycin, reaction(s): "Allergies:Erythromycin". Vaccination history included: BNT162b2 (Dose 1, single; Intramuscular; Left arm (Upper); Batch/Lot number: EW0158), administration date: 09Apr2021, for COVID-19 immunization, reaction(s): "pericarditis", "Nausea", "Infection", "night terrors", "Chronic inflammation"; BNT162b2 (Dose 1, single; Intramuscular; Left arm (Upper); Batch/Lot number: EW0158), administration date: 09Apr2021, for Covid-19 immunization, reaction(s): "myocarditis", "Fatigue", "chest pain", "sweats", "RSV infection", "tension/tightness", "shortness of breath", "inability to exercise", "stress", "anxiety", "chest tightness/tension". The following information was reported: MYOCARDIAL INFARCTION (disability, medically significant) with onset 03May2021, outcome "recovering", described as "thought it was heart attack"; INFLAMMATION (disability, medically significant) with onset 2021, outcome "recovering", described as "Chronic Inflammation"; HYPERTENSION (non-serious) with onset 2021, outcome "unknown", described as "High blood pressure"; MUSCLE SPASMS (non-serious) with onset 2021, outcome "unknown", described as "Muscle spasm"; MYOCARDITIS (disability, medically significant) with onset 2021, outcome "not recovered"; PERICARDITIS (disability, medically significant) with onset 2021, outcome "not recovered"; STRESS (non-serious) with onset 2021, outcome "not recovered", described as "Terrible stress"; CONDITION AGGRAVATED (disability, medically significant) with onset 2021, outcome "unknown", described as "This all got way worse after 2nd shot"; ANXIETY (non-serious) with onset 2021, outcome "not recovered"; CHEST PAIN (non-serious) with onset 2021, outcome "not recovered"; FATIGUE (medically significant) with onset 2021, outcome "recovering"; EXERCISE LACK OF (non-serious) with onset 2021, outcome "not recovered", described as "inability to exercise"; INFECTION (non-serious) with onset 2021, outcome "not recovered"; NAUSEA (non-serious) with onset 2021, outcome "not recovered"; NECK PAIN (non-serious) with onset 2021, outcome "unknown"; SLEEP TERROR (non-serious) with onset 2021, outcome "not recovered", described as "night terrors"; DYSPNOEA (non-serious) with onset 2021, outcome "not recovered", described as "shortness of breath"; HYPERHIDROSIS (non-serious) with onset 2021, outcome "not recovered", described as "sweats"; TENSION (non-serious) with onset 2021, outcome "not recovered", described as "tension/tightness"; RESPIRATORY SYNCYTIAL VIRUS INFECTION (non-serious), outcome "unknown", described as "RSV". The events "fatigue", "myocarditis", "pericarditis", "chronic inflammation", "thought it was heart attack", "rsv", "muscle spasm" and "neck pain" required emergency room visit. The patient underwent the following laboratory tests and procedures: Blood pressure measurement: (03May2021) High; Echocardiogram: (Nov2022) myocarditis and pericarditis, notes: cardiologist did an echocardiogram at first visit Nov of 2022 and immediately seen myocarditis and pericarditis. Therapeutic measures were not taken as a result of fatigue, inflammation, myocardial infarction. Therapeutic measures were taken as a result of muscle spasms, neck pain. Clinical course: Family medical history relevant to adverse event(s): Father had heart attack in 2006, age 58 or so. Grandmother (maternal) had Mitral valve prolapse, high cholesterol-lived to 100 years old. Paternal uncle had four bypass surgery, high cholesterol. Patiemt received 1st dose of Pfizer vaccine and started having chest pain, tension, tightness, severe fatigue, inability to exercise, shortness of breath, nausea, felt like had an infection and terrible night terrors and sweats. Terrible stress and anxiety about a week after the 1st shot. This all got way worse after 2nd shot on 30Apr2021. Patient went to the ER on 03May2021. They found very high blood pressure and (thought it was heart attack) may did not do an echo cardiogram which would have shown the problems. ER administered a muscle relaxer, anti-inflammatory medicine for muscle spasm because they thought it was a muscle spasm of the neck because patient was also having severe neck pain. Patient felt a bit better within 15 minutes but the problem persisted for many months until patient got RSV, 19 months later and researched enough online until patient realized she needed to see a cardiologist. Cardiologist did an echocardiogram at first visit Nov of 2022 and immediately seen myocarditis and pericarditis, she was treated with hydroxychloroquine to reduce inflammatory response/condition of the heart, went off of it 8 months later in Jul 2023. She also went to "AutoProctor" and took nutritional supplement and homeopathy medicine in combination. Patient have not fully recovered but she was almost there at this point (almost three years later). Patient received Hydroxychloroquine for 8-9 months as treatment. Booster dose (other): Moderna 03Dec2021-12H121B.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300450756 Same patient, different vaccine doses/events;