Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Ejection fraction, Fatigue, Muscle necrosis, Myocarditis
Clinical narrative: heart failure; heart attack; fluid in his lungs; This is a spontaneous report from a contactable consumer (patient's mother). A 19-year-old male patient received the first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EP7534), via an unspecified route of administration, administered in Arm Right on 25Mar2021 (received at the age of 19-years-old) as 1ST DOSE, SINGLE for COVID-19 immunization. Medical history included ongoing seasonal allergies and cardiac murmur he had as an infant. When probing medical history, the consumer reported that as an infant, her son, had a heart murmur. Her son saw a heart specialist in (State) who did an ultrasound/sonogram of her son's heart. The specialist said the heart murmur was fine and nothing needed to be done. She also adds that for family medical history, she and her husband don't have any early onset heart issues in either side of their families. She also reported that her son has horrible seasonal allergies. Concomitant medication(s) included cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) taken for an unspecified indication, start and stop date were not reported; triamcinolone acetonide (NASACORT) taken for an unspecified indication, start and stop date were not reported; montelukast (MONTELUKAST) taken for an unspecified indication, start and stop date were not reported. The reporter stated that her son (patient) had a heart attack (26Mar2021) after receiving the first dose of bnt162b2. The patient also experienced heart failure on 28Mar2021 and had fluid in his lungs on Mar2021. She called regarding the COVID-19 vaccine on behalf of her 19-year-old son who received his first vaccine on 25Mar2021. Her son received his first Covid 19 vaccine at a PRIVACY where he attends college. On Friday, 26Mar2021, he was feeling crummy, on Saturday, 27Mar2021, he was feeling crummy. On Saturday night, 27Mar2021, her son started texting her around 11:30PM saying he had pain in his left shoulder and left arm. He had already taken 2 Advil and it wasn't helping with the pain, her son asked if he could take a third Advil. The reporter told her son he could take a third Advil because it had been an hour and a half since he had taken the first two Advil. The texts from her son continued. He was getting no relief. He took a hot shower and tried self-massage and warm compresses. He ended up throwing up and he said he felt a little better. Her son tried to lay down and couldn't get any relief from his pain. The pain was tremendous in his left shoulder and arm. Her son told his mother, he thinks he needs to go to the emergency department. His mother is two hours away from him and told him to call 911. Her son had a friend take him to the emergency department instead of calling 911. Her son went to PRIVACY. While at the emergency department, the doctor thought that her son's pain was muscular. Her son received an injection of Toradol. Her son was discharged from the emergency room and went back out to his friend who had brought him to the hospital. Her son and his friend didn't even make it out of the emergency department parking lot when her son suddenly couldn't see anything. His eyes were wide open and all he could see was black. His ears started ringing. Her son went back into the emergency department. Her son received Benadryl and an Epi-pen thinking maybe he was allergic to the Toradol and having a reaction to the Toradol. Her son had blood work, an EKG, and vital signs done in the emergency department on 28Mar2021. His blood work were over 3000 which the reporter reports, indicates a heart attack. The emergency room doctor did not think the Toradol would have pushed his Troponin levels that high. With her son complaining to her about the pain in his left shoulder radiating into his left arm and throwing up, those are signs of a heart attack. Her son was maybe playing off the seriousness of the pain he was experiencing. It was agreed at that point it might be her son's heart. She was about 18 minutes away from the hospital when she received a call from the hospitalist, the doctor taking care of her son. And that doctor tells her that her son is not doing well and is not responding to treatment of the bag of saline fluids. The doctor is trying to get her son's blood pressure and heart rate back up. The doctor was afraid he might have to air flight him to the PRIVACY hospital. She told the doctor she is 18 minutes away and asked if he can wait that long or does she have to turn around and drive the opposite direction to the PRIVACY. At this point her son was having a COVID-19 viral test in case he needs to be transported to the other hospital. The doctor tells her that her son can wait the 18 minutes until she gets to the hospital. She arrived at the hospital and wanted to see her son, her son is on high flow oxygen and she has to gown and glove up to be in his room for fear of Covid particles since he's on the high flow oxygen. His COVID-19 viral test results have not come back at this time. Her son was admitted to the hospital for heart failure. He was in the hospital for 5 days. He was admitted in the wee hours of the morning on 28Mar2021. During the time he was in the hospital he had chest x-rays and he was given Lasix to get the fluid off his lungs. His white blood cells were way up so he was given an antibiotic. He had an MRI, Chest X-rays, and a Heart Catheterization through his wrist that would indicate that he had blocked arteries in his heart. He had no blocked arteries. The heart catheterization revealed an artery going into his 4th heart chamber was slow to open and close. The cardiologist prescribed Metoprolol for six months with monitoring. The cardiologist feels the Metoprolol will repair his artery and get his blood pressure and heart rate numbers where they need to be. He was admitted to the hospital at around 3:00AM on 28Mar2021 and was discharged on 01Apr2021. Her son's COVID-19 viral test came back negative, but his COVID-19 antibody test showed that he did have COVID-19 antibodies. The doctor didn't know if that meant that her son had a previously undiagnosed case of the COVID-19 virus or if he developed COVID-19 antibodies that soon after he received the Covid 19 vaccine. She reported when her son was discharged, he was feeling better, but still had residual fluid at the bottom of his lungs. Her son did have to go for a chest x-ray on Tuesday, 06Apr2021, after he was discharged, to make sure the fluid was making its way out of his body. When he was discharged from the hospital, he had some shortness of breath and he was tired and weak feeling. The pain in his left arm began before he was admitted to the hospital. The shortness of breath started during his hospital admission. At this point in time she would say her son has improved. The Metoprolol he was prescribed by the cardiologist is one half of a 25mg tablet once at nighttime. She stated that she does not have any information on how low her son's blood pressure and heart rate were during his time in the hospital. Therapeutic measures were taken as a result of the adverse events. Outcome of the events was recovering.