Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium, COVID-19, Drug ineffective, Echocardiogram, Electrocardiogram ambulatory
Clinical narrative: Covid; Covid; This is a spontaneous report received from a contactable reporter(s) (Nurse). The reporter is the patient.  A 37-year-old female patient received BNT162b2 (BNT162B2), on 14Jan2021 as dose 1, single (Lot number: EL1284), in left deltoid and on 01Feb2021 as dose 2, single (Lot number: EL9263) at the age of 37 years, in left deltoid, all intramuscular for covid-19 immunisation. The patient's relevant medical history included: "Hypothyroid" (unspecified if ongoing); "C-section" (unspecified if ongoing), notes: Onset date: 2015+2019, Stop date (check box if ongoing): NA; "Pre Diabetes", start date: 2015 (ongoing); "Hypothyrodism" (ongoing), notes: Onset date: proportional 2005; "Leukocytosis" (ongoing), notes: Onset date: proportional 2010; "Increased WBC" (ongoing), notes: Onset date: proportional 2010; "Diabetes" (unspecified if ongoing); "Non-smoker" (unspecified if ongoing). The patient's family history included: "Hypertension" (unspecified if ongoing). Concomitant medication(s) included: PROCARDIA [NIFEDIPINE] oral taken for hypertension, start date: 2019 (ongoing); SYNTHROID oral taken for hypothyroidism, start date: 2005 (ongoing); METOPROLOL oral taken for arrhythmia, start date: Jan2022 (ongoing); MAGNESIUM oral taken for arrhythmia, start date: 2021 (ongoing).  The following information was reported: DRUG INEFFECTIVE (medically significant) with onset 10Jan2022, outcome "unknown", COVID-19 (medically significant) with onset 10Jan2022, outcome "recovered" (Jan2022) and all described as "Covid". The patient underwent the following laboratory tests and procedures: Blood potassium: (Mar2021) 3.2, notes: Comments: K-dur improved decreased Potassium; Echocardiogram: (unspecified date) Unknown results; Electrocardiogram ambulatory: (unspecified date) PVCS, notes: Comments: PVCs; (2021) PVC; SARS-CoV-2 test: (10Jan2022) Positive; (11Jan2022) positive, notes: Comments: I am currently covid positive and felt increased arrhythmias prior to being sick and with recovering; (Jan2022) Negative. Therapeutic measures were taken as a result of covid-19.  Clinical course: She believe her heart arrhythmias are a result of my 2nd Covid vaccine. Illness/AE: she experience palpations. At times she will have 2-3 beats that are strong and felt up my neck and down to my stomach. They can take my breath away sometimes. Depending on the day she will have anywhere from mild beats throughout the day to PVCS every minute. She have gone to urgent care and now follow up with my PCP. He started me on new medications for arrhythmias. After having worsening symptoms. She was following up with a cardiologist after get my echeo next month. On 11Jan2022 he was currently covid positive and felt increased arrhythmias prior to being sick and with recovering. About 1 week after my 2nd vaccine she began feeling palpations. They continued to become more frequent so she went to urgent care. At urgent care they found my potassium low so she took K-dur. That helped my symptoms however she still had the arrhythmias. Throughout 2021 she saw my primary who tried potassium and magnesium supplements. This treatment only worked for a short period but didnt eliminate the arrhythmias. Some days would be worse and Id feel couplet or triplet PVCS with a pause. In Jan my symptoms got worse so my doctor me on metoprolol and referred me to cardiologist. She also had an echocardiogram and had 2 separate halter monitors. My cardiologist said she had a murmer and she will continue to follow-up in 2 weeks. The metoprolol so far has helped tremendously as she was having the PVCS every few minutes in Dec/Jan.