Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Disturbance in attention, Feeling of despair, Lethargy, Loss of libido
Clinical narrative: subsequent heart attack; they were not getting his blood sugar numbers down and they felt something was not right/on 28May2021 blood sugar was very high at 880; left shoulder pain; weakness in the left arm; This is a spontaneous report from Pfizer-sponsored program. A contactable consumer (wife) reported for 47-year-old male patient (husband) received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EW0176 and expiry date was not reported), via an unspecified route of administration, in Arm Left, on 08May2021 at 09:00 PM (age at vaccination: 47 years), as a single dose for COVID-19 immunization. The patient's medical history included ongoing diabetes. Concomitant medications were not reported. Caller called on behalf of her husband (patient) that the patient had a subsequent heart attack on an unspecified date in May2021, stent placement and left shoulder pain and weakness in the left arm. Caller wanted recommendations on her husband getting the second dose of the vaccine relative to these events. The patient was in hospital for heart attack from 28May2021 to 04Jun2021. The patient was diagnosed 3-4 years ago but not being treated at time of event. When patient got to hospital on 28May2021 blood sugar was very high at 880. Caller clarified that they believe he had the heart attack at some time between 18:00 on 09May2021 and 04:00 on 10May2021 but they did not know he had the heart attack until hospitalization starting 28May2021. She clarified that she called to ask what the recommendations were regarding him getting the second dose of Pfizer Covid-19 Vaccine relative to these events and how the second dose might affect him. At some point in that time period, he started feeling funny and he drives a forklift, so he pulled over and parked. At 04:00 on 10May2021, he was woken by a coworker who told him he was sleeping and to go home. He was not the same after that. Caller initially reported she believes he has recovered completely other than complaining of left shoulder pain and weakness in his left arm that started date of his stent placement on 30May2021. The patient was admitted to the hospital starting 28May2021 after they talked to a doctor on the phone-initially taken by ambulance to first hospital and then in the middle of the night on 29May2021 was transferred to the ICU department in a different hospital where he remained admitted until discharged against medical advice on 04Jun2021. The reason that he left the hospital against medical advice was because they were having trouble with the doctor who kept coming in to the hospital and saying that the patient could go home then they would come in and say he couldn't go home because the Endocrinologist said he couldn't. That went on for 3 days. At the hospital they were not getting his blood sugar numbers down and they felt something was not right, so they ended up leaving. The patient came home, and they had the ambulance come there to double check him and his blood sugar levels have been perfect while home although he has stress. The event subsequent heart attack was resulted in emergency room visit. Outcome of the events left shoulder pain and weakness in the left arm was not recovered and for all other events, it was unknown.