Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Hypertension, Loss of personal independence in daily activities, Malaise, Myocardial infarction
Clinical narrative: myocarditis; pericarditis; troponin and did an EKG. From there she was life flighted/troponin levels, and they 7.5 or something/She was hospitalized; chest pain; heart attack; fainted; haven't been able to return to work; BP going high; heart pounding; didn't feel good; dizziness; disoriented feeling; uncomfortable; This is a spontaneous report from a contactable consumer or other non hcp.  A 66-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL1284), dose 2 via an unspecified route of administration on 08Jan2021, single for COVID-19 immunization. Medical history included, blood pressure measurement from an unknown date and unknown if ongoing. There were no concomitant medications. The patient previously took carvedilol, BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EK5730), dose 1 via an unspecified route of administration on left arm 18Dec2020 7:00 to 8:00 am as single for COVID-19 immunization and experienced myocarditis and pericarditis. On an unspecified date, patient received both doses of Pfizer covid 19 vaccine, the first dose on 18Dec2021 and second dose 08Jan2021, she was 66 years old at the time. Reporting that after the first dosage of Pfizer covid vaccine she was diagnosed with myocarditis and pericarditis and after the second dose in Jul she had the heart attack after both doses. The patient stated that "she was diagnosed with myocarditis and pericarditis in Jun after hospitalization, but struggling all through the spring with heart pounding, BP going high, dizziness, just dizzy funny disoriented feeling started first week of Jan." This week has to have proof of vaccination which she has. Her concern is as she understands it, there is never going to be 100% proof of how she got myocarditis. She states she has been living in (Withheld) for 3 years and never sick. The only thing was she had this vaccine. She doesn't know what to do about Booster. What about some point, they want to see proof of booster? I want to be protected. I don't know what to think about getting the booster. The cardiologist said you don't get it he also works with Pediatric doctor with a different opinion. What do I do? Caller states, "As a patient I am trying to get all of my information, I get so many opinions one for one and another from another. DSU - I just thought my blood pressure medications wasn't working anymore. then the cardiologist asked me questions. I had chest pain and didn't feel good. I would be hiking and I couldn't do it felt dizzy, not feeling safe, heart started pounding, it wouldn't slow down. I started with these symptoms till it progressed to this heart attack. My symptoms started and I began writing down my blood pressures, I started doing that on 04Jan. I Hiked and experienced dizziness and disoriented feeling. This whole summer since the heart attack, I haven't been able to return to work. She explains she got her first dose on 18Dec2020 and her second on 08Jan2021. She began having symptoms the first week of Jan2021. She was diagnosed with myocardia and pericarditis. She experienced further symptoms in 21Jun2021 and went to urgent care on 22Jun2021 where it was found she had a heart attack. Caller remarks her employer wants proof of vaccination and she is unsure about the booster shot. The symptoms started in Jan2021, before the second dose and continued through the spring. She explains that she didn't relate this to the vaccine, the cardiologist suspected it was due to vaccine as he has seen with others. She reported she had been on carvedilol since early 2006, and her blood pressure was controlled. Suddenly she noticed she was not feeling right but not sure of the date this started. This made her started tracking her blood pressure and she was getting high readings of 150/100 where her normal was 130's/80-90. She tracked this through the spring and started going to primary care to get checked. She visited her primary care related to this on 19Jan2021, 03Feb2021, 17Mar2021, 31Mar2021, and 01Jun2021. She had her heart attack in Jun2021. Late in the afternoon 21Jun2021 she started having chest pain but didn't go to urgent care until 22Jun2021 where they checked her troponin and did an EKG. From there she was life flighted to a different hospital. She was hospitalized from 22Jun2021-24Jun2021.She was hospitalized again in mid-Jul2021 where she spent the night for observation, this was around 14Jul2021. Her cardiologist had discussed this and said he felt like he had seen other similar cases. The symptoms mentioned that started in Jan2021 were, with high blood pressure, dizziness which she described as a kind of disoriented feeling and her heart would pound and be really uncomfortable when she would do anything. It would take a long time to slow down too. Her primary care changed blood pressure medication several times during the spring while she was following up related to the symptoms. Caller has no other product names other than the carvedilol mentioned and no NDC, Lot, or Expiry to provide for any of those products. She notes they are in pharmacy bottles and she doubts there are any lot numbers for the products. When she went to urgent care in Jun2021 with her heart attack, she noted they did an EKG that showed it was abnormal with inverted T wave and checked her troponin levels, and they 7.5 or something. This is why they sent her to the hospital. When asked how the event is since starting the caller relays she has not been to work since the event. She feels like there has been improvement but doesn't think she could go back to work. It is reported she fainted Tuesday afternoon and felt she felt like fainting before she called us. She is still having chest pain and her heart pounds. The caller did say she was told her EKG has improved. She went to the ER again 23Aug2021 with chest pain and was checked and discharged. They looked at her EKG, troponin level and blood pressure. Her troponin is normal and that is why she was sent home; she saw cardiologist the next morning. No treatment was received. The patient underwent lab tests blood pressure measurement was 150/100 on an unspecified date, electrocardiogram was abnormal so the inverted T wave, troponin was 7.5 or something as reported on 22Jun2021. The outcome of events myocarditis, pericarditis recovered on 23Aug2021. The outcome of events troponin a did an EKG, From there she was life flighted/troponin levels, and they 7.5 or something/She was hospitalized was recovered on 24Jun2021 and rest all other outcome of events were unknown.