Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Lymphadenopathy, Palpitations, Stress
Clinical narrative: Stress; , racing andpalpitations are not normal stressresponses; Blood pressure was increased; Heart rate was increased; . I was prescribedhydroxyzine for possible anxiety.; Heart felt like it was racing for more than 2 hours; Chest pain primarily in the right side; I was unable to run for exercise as I normally do because I experienced increased pain after a couple of blocks; 2 days after my second dose, Inoticed swelling of lymph nodes in myneck (right side).; This is a spontaneous report from a contactable consumer, the patient. A 38-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0162) via an unspecified route of administration in the right arm on 21Apr2021 at 11:15 (at the age of 38-years-old) as a single dose for COVID-19 immunisation. Medical history included none. The patient did not receive any medication within two weeks of vaccination. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8733) via an unspecified route of administration in the right arm on 31Mar2021 at 11:15 (at the age of 38-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 23Apr2021 at 07:00, the patient experienced swelling of lymph nodes in neck, right side. About 4 days after second dose, the lymph node swelling decreased some, went to urgent care on April 23. On 25Apr2021, the patient experienced chest pain primarily in the right side, was unable to run for exercise as normally did because she experienced increased pain after a couple of blocks. A normal run for her was 5 miles. On 30Apr2021, the patient experienced around midnight, she was in bed and her heart felt like it was racing for more than 2 hours. 03May2021, the patient experienced racing again, this was during the day and she was under stress, racing and palpitations were not normal stress responses for her. She went to urgent care did an EKG, blood pressure was increased and heart rate was increased. She reported no previous diagnosed anxiety, and also stated that chest pain remained. She continued to experience chest pain on and off as of 27May2021. On 03May2021, the patient underwent EKG and the result was blood pressure was increased and heart rate was increased. The events resulted in emergency room/department or urgent care. Therapeutic measures were taken as a result of the event anxiety and included treatment with hydroxyzine. Therapeutic measures were taken as a result of the event chest pain and included treatment with naproxen. The clinical outcome of the events chest pain, swelling of lymph nodes in neck, was unable to run for exercise as normally did because she experienced increased pain after a couple of blocks, heart felt like it was racing, stress, palpitations, blood pressure was increased and heart rate was increased was recovered with sequelae.  No follow-up attempts are needed. No further information is expected.