Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Asthenia, Chest discomfort, Dizziness, Echocardiogram
Clinical narrative: FACE WENT SOLID WHITE; UNABLE TO GET WORDS OUT; SWEATING OF THE PALMS AND FEET AND FACE; DIZZY/ VERY LIGHTHEADED; FATIGUE/FELT DRAINED/VERY TIRED/EXHAUSTED; ELEVATED D-DIMER; ELEVATED BLOOD PRESSURE; HEAVINESS IN THE CHEST; PINKY FINGER FELT TINGLE-Y AND  NUMB; HEADACHE; This spontaneous report received from a patient concerned a 48 year old white, Not Hispanic or Latino female. The patient's height, and weight were not reported. The patient's past medical history included urinary tract infection, and concurrent conditions included occasional migraines. The patient was not pregnant at the time of this report. The patient had family history of heart problems and was doing exercise three times per week. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031,expiry: 26-MAY-2021) dose was not reported, 1 total administered on 30-MAR-2021 around 13:15 to the left arm for prophylactic vaccination. No concomitant medications were reported.  On 03-APR-2021, she felt dizzy, had a headache which was a different kind of headache from her migraines and was very lightheaded. The patient was out riding motorcycles when the symptoms occurred, but she was drained so she had to leave early. On 04-APR-2021, on her way home from visiting her grandmother she felt the same type of headache. Her chest started feeling heavy, her pinky finger felt tingly and numb, and her palms and feet were sweaty. On 05-APR-2021, all of her symptoms kept magnifying and worsened, but she was not able to get in to see her physician. On 06-APR-2021, the patient went to the gym and had to get off the elliptical because she was so fatigued and had chest heaviness. She went to the MD later that day where they did an EKG (electrocardiogram) which showed an abnormal line, but nothing major and her CXR (chest X-ray) was clear, although her BP (blood pressure) was elevated. They wanted to do a stress echo at a later date. On 07-APR-2021, the patient symptoms got even worsened when she was at work. The patient's face turned solid white, her face, palms, and feet were sweaty, and she was dizzy. After the end of the episode, she was not able to get words to come out, like she was having a mini stroke, which had lasted 30 minutes. The patient then became very tired and exhausted. The patient's coworkers drove her to the Emergency Room around 13.00. The patient was administered with heparin and also took an echocardiogram. They wanted her to do more tests including nuclear stress echo as an outpatient with her physician. The patient was discharged on 08-APR-2021. The episodes continued after her hospital visit. She went back to work on 12-APR-2021 and it happened again, so the patient was taken back to her doctor. The patient underwent a d-dimer test and it was slightly elevated.  The patient also took an MRI (magnetic resonance imaging) and it was clear with no clots or bleeding, but the episodes were still happening. The patient was feeling better at the time of this report and would be going to meet her neurologist. The action taken with covid-19 vaccine ad26.cov2.s was not applicable The patient recovered from unable to get words out on 07-APR-2021, and elevated blood pressure on APR-2021, had not recovered from dizzy/ very lightheaded, headache, fatigue/felt drained/very tired/exhausted, heaviness in the chest, and sweating of the palms and feet and face, and the outcome of pinky finger felt tingle-y and numb, face went solid white and elevated d-dimer was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender's Comments: V0: 20210454164-COVID-19 VACCINE AD26.COV2.Sweating of the palms and feet and face,  face went solid white, Dizzy/very lightheaded. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). 20210454164-COVID-19 VACCINE AD26.COV2.S-fatigue/felt drained/very tired/exhausted. This event(s) is labeled per RSI and is therefore considered potentially related.