Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Chest discomfort, Dyspnoea, Hyperhidrosis, Myocardial infarction
Clinical narrative: now has atrial fibrillation; patient was having a heart attack/an active heart attack; dripping sweat; couldn't breath; pressure on their chest/ elephant was sitting on their chest; arm soreness/ felt like my arm was broken; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (patient was having a heart attack/an active heart attack) and ATRIAL FIBRILLATION (now has atrial fibrillation) in a 54-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026A2114) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.   Concomitant products included TAMSULOSIN, TESTOSTERONE, SERTRALINE, LISINOPRIL, GLYCERYL TRINITRATE (NITROGLYCERIN), AMIODARONE, ISOSORBIDE MONONITRATE, CARVEDILOL, ROSUVASTATIN, RIVAROXABAN (XARELTO) and ACETYLSALICYLIC ACID (BABY ASPIRIN) for an unknown indication.  On 11-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Mar-2021, the patient experienced PAIN IN EXTREMITY (arm soreness/ felt like my arm was broken). On 13-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (patient was having a heart attack/an active heart attack) (seriousness criteria hospitalization and medically significant), HYPERHIDROSIS (dripping sweat), DYSPNOEA (couldn't breath) and CHEST DISCOMFORT (pressure on their chest/ elephant was sitting on their chest). On an unknown date, the patient experienced ATRIAL FIBRILLATION (now has atrial fibrillation) (seriousness criteria hospitalization and medically significant). At the time of the report, MYOCARDIAL INFARCTION (patient was having a heart attack/an active heart attack), ATRIAL FIBRILLATION (now has atrial fibrillation), HYPERHIDROSIS (dripping sweat), DYSPNOEA (couldn't breath), CHEST DISCOMFORT (pressure on their chest/ elephant was sitting on their chest) and PAIN IN EXTREMITY (arm soreness/ felt like my arm was broken) outcome was unknown.  Treatment medications were not reported. The reporter states that the patient after receiving the second dose experienced arm soreness. On 13 March 2021 patient started dripping sweat, said couldn't breathe, and felt pressure on the chest. The test confirms that patient was having a heart attack. On 15 March 2021 the patient went to different hospital and they ran test and confirming that the patient is having active heart attack. The patient went to the Cath lab and was at the hospital for 4 days. The patient now had atrial fibrillation and the patient never took anything on their own to help treat the symptoms experienced.  Company comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   This case was linked to MOD-2021-286915 (Patient Link).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.