Age: 74.0
Sex: U
Vaccine: COVID19
Symptoms: Angina pectoris, Interchange of vaccine products, SARS-CoV-2 test
Clinical narrative: Moderna shots; The pain near the heart; This is a spontaneous report received from a Consumer or other non HCP.  A patient (age and gender not provided) received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 11Aug2023 as dose 6 (booster), single (Batch/Lot number: unknown) at the age of 74 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Kidney issues", start date: 2009, stop date: 2022, notes: Pertinent details: life style changes avoid an contrast dyes., Stop date: 2022 resolved; "Type 2 diabetes", start date: 1986 (ongoing), notes: Pertinent details: manage now with diet and juices; "Lymes" (unspecified if ongoing), notes: Onset date: had at least twice last one 6 years ago , Pertinent details: 3 weeks doxycycline; "Obese", start date: 1980 (ongoing), notes: Pertinent details: I have at least 25 gene variants associated with obesity; "Blood pressure" (ongoing); "Hypothyroidism" (ongoing); "Eye pressure" (ongoing); "Cancer surgery" (unspecified if ongoing), notes: nicked during cancer surgery when I was 49 started burning.; "Clostridium Difficile" (unspecified if ongoing), notes: Clostridium Difficile; "Diverticulitis" (unspecified if ongoing); "respiratory infection" (unspecified if ongoing). Concomitant medication(s) included: AMLODIPINE oral taken for blood pressure abnormal, start date: 2014 (ongoing); LEVOTHYROXINE oral taken for hypothyroidism, start date: 2016 (ongoing); LATANOPROST taken for ocular discomfort, start date: 2012 (ongoing). Vaccination history included: moderna (Dose 1, My first two shots were Moderna , Moderna 043220A 18Feb2021 withheld), administration date: 18Feb2021, for COVID-19 immunization, reaction(s): "Diarrhea", "Usual chills", "fever with a sore arm", "fever with a sore arm"; moderna (Dose 2, My first two shots were Moderna , Moderna 001321A 18Mar2021), administration date: 18Mar2021, for COVID-19 immunization; BNT162b2 (Dose: 3, Date: 04Nov2021, Time: Morning, Anatomical location: Shoulder, Route of administration: Intramuscular, Batch/lot number: FF2593), administration date: 04Nov2021, for COVID-19 immunization, reaction(s): "sharp pains near the area above my heart", "neurological symptoms", "pain running down the left side of my spine", "bacterial infection", "joint pain", "odd nerve pains"; BNT162b2 (Dose: 4, Date: 15Jul2022, Anatomical location: Shoulder, Batch/lot number: FJ4991), administration date: 15Jul2022, for COVID-19 immunization, reaction(s): "sharp pains near the area above my heart", "neurological symptoms", "pain running down the left side of my spine"; BNT162b2, BNT162b2 omi ba.4-5 (Dose: 5, Date: 11Oct2022, Anatomical location: Right Shoulder, Batch/lot number: GJ2524 BV (Bivalent)), administration date: 11Oct2022, for COVID-19 immunization, reaction(s): "sharp pains near the area above my heart", "neurological symptoms", "pain running down the left side of my spine". The following information was reported: ANGINA PECTORIS (medically significant) with onset 2023, outcome "unknown", described as "The pain near the heart"; INTERCHANGE OF VACCINE PRODUCTS (medically significant), outcome "unknown", described as "Moderna shots". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: Negative, notes: home test for COVID-19 when I have cold symptoms but they have always come back negative. Clinical course: On 11Aug2023, the patient stated, "I got another dose of the bivalent vaccine anticipating a family get together at my house in late August or early September. This time the pain near the heart and the running pains did not last as long, only a month or two. I am unsure if that was because I was adapting some way, or the vaccine was changed a little. Anyway, it was nice to see people as I am a virtual recluse now."  The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 will be requested and submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-PV202400000955 same patient, different event/vaccine dose;