Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Cold sweat, Dyspnoea, Electrocardiogram
Clinical narrative: Head was hot, like really hot; Dizzy; Rash; This is a spontaneous report from a Pfizer-sponsored program. This is a spontaneous report from a contactable consumer or other non hcp. A 52-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection Batch/Lot Number: FA6780), dose 1 via an unspecified route of administration on 01Aug2021(at the age of 52-years) as DOSE 1, SINGLE for COVID-19 immunisation.  The patient's medical history included COVID-19 and concomitant medications were not reported. He says that he went through a lot of symptoms on his first dose. He also had COVID previously but with the COVID vaccine he has seen that it can cause symptoms and severe cardiac issues but he didn't know that he would get it because it said that young people were getting them and he doesn't consider himself young. Most of his coworkers got it and they did well on it. He can't get the 2nd dose of Pfizer, he thinks. He works for (Company name withheld) and they are making it impossible to not get the COVID vaccines especially since he has had COVID before and the COVID vaccine wasn't tested on those who recovered from COVID. He says that he can email his other symptoms to Pfizer if needed. He is not asking for an exemption, he just wants an extension of time to see if he can switch from Pfizer to the J&J COVID vaccine because they have no reported side effects such as this. It is unknown to him if he can tolerate the 2nd dose of the Pfizer COVID vaccine. He says that he has had a cardiac workup and he is seeing his cardiologist again on 09Sep2021 and he has until the 30th (unspecified month) to get the 2nd dose. He has worked for his company for 16 years and he is not against the COVID vaccine but he had a bad episode with it that wasn't supposed to happen on the first dose according to his research and from what he has seen people talking about on the news. Again, is there anyway that he can email his symptoms to Pfizer so that they can review and tell him what he should do? He works in the medical field as a coder and he looks for adverse events, that is his training and he had thorough training. He did research on this but it was after the fact unfortunately. He continues and says that his head was hot that night and his heart was 124 beats per minute and his blood pressure was dropping between 120 to 140 over 60. His oxygen level was 92 to 98 and he was trying to treat himself as if he had COVID again so he trying to be active to move his lymphatic system but he couldn't walk which was making it worse so he laid back down. He had reached out to the urgent health who said that there was a 2 hour wait time. He still felt dizzy and he called the nurse back at his primary care doctor's office who said to go to urgent care. Then his heartrate was 90 to 138 and his pulse rate was 100. He took a shower just in case he was admitted, and when they were driving there he had felt a lot of pressure in his heart, it was nothing substantial like the night before though. They had a long wait time again so he had decided to wait to see if his symptoms escalated throughout the night. He says it is weird that his symptoms started at night time. Then all throughout the day he was starting to have a stiff neck and a headache. Also he has chronic pain and he has Toradol so he took that but he didn't want to treat himself because he is not a medical doctor and the Toradol did alleviate the pressure in his heart from an 8 to 9 down to a 5 to 6. The nurse called him back the next morning because the doctor wanted him to get a cardiac workup and she had the results and wanted to let the caller know. He says again that he gave himself the Toradol shot the night before this. But he was told that his troponin levels were within normal range and that the only thing that was off were his Urea Nitrogen, his ALT and his ALS.  Attempt was made to control caller and clarify his previously stated blood pressure was dropping between 120 to 140 over 60. He says that he checked his pulse and his blood pressure that were 147 and then it had dropped to 60 but he checked his pulse because he has an oxygen sensor so he was monitoring his oxygen saturations because he wanted to check his pulse of 124. He said his head was hot, like really hot. He was talking to a coworker who said that they had the same thing happen to them but it was with the second dose. Unable to obtain further details. His wife put cold compressions on him and then he had fallen asleep that night. He did call urgent care because he was unsure if he needed to go in or what their protocol was but they said it was a 2 hour wait so he said that he would stay at home. The next day he was dizzy and clammy and he needed to call the doctor so he messaged the doctor who said that he needed to go to urgent care so he took a shower that day and was then feeling better but his pulse was still 90 to 138 but it was not as substantial. And that's when his symptoms started, the night before. As he progressed through the day he started having stiff neck and a headache so he gave himself a Toradol shot which helped with his chest pressure and he had a minor compression type pain and his pain then dropped to a 5 to 6. The nurse called the next morning because the doctor wanted to do a cardiac workup and he said that he wanted to wait until his symptoms got worse. He went in the next day and had an EKG that was abnormal, his Troponins were within normal limits and the only thing that was off was his absolute lymphocytes were elevated. He says his Urea Nitrogen was elevated, his AST was elevated and his ALT was elevated. He did research on his ALT and the AST and he found that if one is higher than the other then his kidneys and liver were working hard to flush his system. It is weird but he recovered okay but his heart felt like it had went though hell after a few days. He went in Thursday for a work up and he didn't feel like himself until Monday, he had 2 to 10 days of not feeling like himself. On Tuesday he was taking cases with people he works with. He then on 08Aug2021 to 10Aug2021 he had a headache and was not feeling 100% so that night he did give himself another Kenalog shot. Like he already said he has chronic pain with headaches and TMJ. The Kenalog helps with the pain. Then on Friday, 13Aug2021, he didn't feel 100% and when he woke up his wife he had a blood pressure of 154/85 (documented as provided by caller) with a pulse of 82. He had then noticed his heartrate and then his pulse jumped up to 100. His coworker was asking him how he felt and he said not too bad but he felt like his heart had went through hell. He said he was checking his heartrate and it was 107 just from walking to the printer that is maybe 20 feet away from him. He noticed it has been elevated every morning anytime he did any activity. He hasn't been walking or anything like he normally does. But then back on Friday, 13Aug2021, when he woke up he had the weird chest pain again, it was a burning pain and it felt like the top of his heart was burning so he got the blood pressure machine and his wife said that it was 154/85 with a pulse of 82 and that is with the chest pain. Last week he was researching things and he said that he needed a treatment plan with a systolic that high, but everything had come back normal except his nitro's were at 24 this time which they are saying that is part of dehydration, the urea nitrogen. Then his AST stabilized which is good compared to the week before. His EKG was normal and then the only thing that he still was having is the issues with his heart. He has a cardiac follow up on 09Sep2021 and an EKG on 16Sep2021. He wanted to know what Pfizer has for symptoms, like do they still recommend the 2nd dose. He adds that his resting pulse this morning was 72. He has a smartwatch that has an EKG built in. Again, he was going to go to the urgent care but they had a 2 hour wait and his wife helped to monitor him through the night until he fell asleep, but he did sleep sitting up because he didn't want his heart to be overworked. But like he said the next morning he felt clammy and dizzy, and he wasn't coherent enough but he did email his doctor the next morning and said that he was not feeling fine, and the nurse called and said to go to the urgent care but his heart rate was in the 100s. Also, he had a rash and he took pictures of the rash and he doesn't think that they are related but they might be. He started scratching at it before he realized what he was doing and then his whole leg was red. He sent pictures to his doctor who said that it was not related, and the caller was looking on the internet since he was a coder and thought how he could do his own research. He had the rash in his lower legs on both feet, well on his legs, but one was worse than the other, but it is not like he saw it until he started scratching and then it turned redder so he put more alcohol on it to try and ease it because it was so irritated. The events outcome was reported as unknown  No follow-up attempts are needed. No further information is expected.