Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder, Somnolence
Clinical narrative: SADDLE PULMONARY EMBOLISM; COVID-LIKE SYMPTOMS; COULD NOT SLEEP; COULD NOT EAT; This spontaneous report received from a patient concerned a 51 year old male. The patient's height, and weight were not reported. The patient's past medical history included saddle pulmonary embolism, and sneezing, and concurrent conditions included alcohol user, non-smoker, and seasonal allergies. The patient had no history of drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031, and  expiry: 10-JUL-2021) dose was not reported, 1 total administered to left arm on 17-MAR-2021 at about 08:00 for prophylactic vaccination. No concomitant medications were reported.  On 17-MAR-2021, evening post vaccination from Wednesday evening to Saturday, the patient experienced chills, lightheaded, worn out, lethargic, dizzy, achy, chills, covid-like symptoms, could not sleep, could not eat and could not get comfortable and saddle pulmonary embolism. The patient missed work Thursday and Friday. On 22-MAR-2021, the patient's wife and son noticed that the patient had a hard time breathing while doing daily tasks (like walking down the stairs of his house and while playing bowling). It was reported that the patient tried to downplay his difficulty breathing. On 27-MAR-2021 while the patient was fertilizing his yard noticed that he was sweating profusely and felt that his heart was racing and that he had difficulty completing his yard work. A week later, symptoms of difficulty breathing appeared while moving and going up one flight of stairs. It was reported that the tasks that he could normally do, he was struggling. On 18-APR-2021, the patient had a physician's appointment and on 18-JUN-2021 he underwent the laboratory investigations of computed tomography (CT) scan, computed axial tomography (CAT) scan, stress test and pulmonary function tests. Upon the CAT scan results the patient was diagnosed with saddle pulmonary embolism of the lungs following which the patient was admitted to the hospital. The patient was discharged on 20-JUN-2021, and the duration of hospitalization were 2 days. Treatment medications included Eliquis (apixaban), but bad side effect of dizziness. The patient was then switched to Xarelto (rivaroxaban), but had intermittent feelings of vertigo for which he was on Meclizine. Constant in neck and shoulders, the patient was prescribed with Norco (hydrocodone bitartrate/paracetamol). It was reported that the patient was currently experiencing dizziness and swelling in his left leg. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from covid-like symptoms, could not sleep, could not eat on 21-MAR-2021 and recovered with sequelae from saddle pulmonary embolism on 20-JUN-2021. This report was serious (Hospitalization Caused / Prolonged).; Sender's Comments: V0- 20210760485- Covid-19 vaccine ad26.cov2.s. Saddle pulmonary embolism. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY