Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Malaise, Mitral valve disease, Pain in extremity, Palpitations, Tremor
Clinical narrative: First sign was on a night mission of the 16th of Aug2004 in prep for a military operation. I was experiencing alot of pain from my right arm and started to feel very dizzy and my heart started to go very fast and then I almost passed out. I started to sweat very bad. My sqad leader yelled at me and I told him I am about to pass out. He told me to drop and do 20 push ups. I told him are you kidding. My heart was going so fast and I told him that I could not do it. The sqad had to wait for me to catch my breath and get my heart rate down. We waited for 15min then we began to catch up with the rest of the platoon. The rest of the mission I was still breathing very hard and had fast heart rate. I still fought passing out the rest of the mission and kept the squad from advancing like they should. After the mission I went and showered and my uniform had sweat all over it at least 30 pounds heavier. My squad leader yelled at me for not making the mission like I should, and I told him that this has never happened before and that I have always been able to push my body to limits and it has never failed me and it did. He told me to go to sick call and get the problem fixed. The next morning I went to sick call and saw a doctor. I told him (and he noted in my med report) that after I had gotten this third anthrax shot, that I have not been the same. Dizziness, shortness of breath and fast heart rate. He gave me meds. for my shoulder and told me to go to the troop med clinic in the morning. I went to the tmc the next morning and told them what had happened the put me on extensive light duty walking only profile and sent me back and told me to come back tomorrow. The profile that I had restricted me from training so I no longer trained with my unit. At this point I was  fresh out of basic training and like I said before, never had a problem not being able to push my body to limits it had not seen yet, and now I have a roadblock because I can not do that anymore. while I would be in my bunk I had a sensation of not being able to breathe not that I can't actually take in air but that I am not getting enough air, and had a sickness feeling that is like having the flu but does not go away. You never get better, sick all of the time. They had me do cardiology, pulmonary, and psychological testing. Someone told me that mitral regurgitaion causes all the problems that I am experiencing and wrote me a prescprition for taking antibiotics before and after surgeries or dental work to help stop infection that will lead to death. Before this I have always been given a clean bill of health in every aspect. There is no history of heart problems in my family. At that point I was put in medical hold after cardiology and remained there for 10 months in which I was discharged. I still have shortness of breath, dizziness, palpitations, unexplained sickness, and shakiness that I have ever since Aug, 15 2004 the same day I recieved my third anthrax vaccination. I struggle in many aspects of my life as a result of this. Many question could it be the anthrax vaccination? Well, I know it was. Nothing can alter your body like this anthrax vaccination does. Also, pulmonary diagnosed me with hyperventilation syndrome to explain why I get out of breath upon exertion. And psych eval said that I now have a anxiety disorder. The time course for my injury tells me I am here to stay, I do not let up, and you have to live with this problem now. I hope to be as in good a health as I was but it is not happening. I still get shaky lightheaded/dizzy, breathe hard, and my heart beats very fast for little work performed after my third anthrax vaccination. All the events to log are to many to list, I gave the time course and signs are with me all the time as are the symtoms of the adverse reaction I had to the third anthrax vaccination that I received and now have health problems as a result. 7/3/07 Received hospital medical records which reveal patient seen in clinic 8/23/04 for SOB & dizziness x 8 days, with or w/o exercise.  Labs were ordered & pt to RTC next day for eval.  RTC 8/24 but did not get labs done.  Referred for PFTs.  RTC 8/31 where labs were reviewed & all found to be WNL including PFTs.  Referred to cardiology & seen on 9/7/04, stress test done which revealed electrically negative for ischemia, clinically ositive w/5/10 chest pain.  RTC on 9/8/04 to f/u on stress test which had caused chest pain & was to thallium stress test 9/10/07 which was WNL.  RTC 9/14 where Holter monitor revealed Wenkebach PVCs & started on low dose beta blocker.  RTC  9/17 w/increased SOB since med started.  Referred for repeat PFTs & med d/c. FINAL DX: none provided beyond: dyspnea, mitral regurgitation & Wenkebach cardiac rhythm.