Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Exercise test abnormal, Fatigue, Headache, Heart rate decreased, Heart rate increased
Clinical narrative: Cut & Paste from my personal journal records (Aug 12, 2022): WOKE UP ABOUT MIDNITE TO 3AM, ONLY SYMPTOM WAS A BIT MORE PAIN IN INJECTION SITE. THEN WOKE UP AT ABOUT 5 AM AND WRECKED.    - SHARP PAIN IN INJECTION SITE   - WOKE UP SHIVERING/FEEVERISH (LIKE FLU)   - VEEERY WEAK (FEELS SAME LIKE FLU)   - WHOLE BODY MUSCLE/JOINT PAIN   - HEADACHE/DIZZY WHEN SHAKE HEAD   - CHEST PAIN HEART    - CHEST PAIN HEART RADIATES TO LEFT KIDNEY   - MOST CRAZY IT SEEMS LIKE IVE LOST THE ABILITY TO BREATHE NORMALLY WHEN SLEEPING. I SEEMS TO STOP BREATHING WHEN ASLEEP, THEN WAKE RAPIDLY AND GASP FOR BREATH. ALMOST LIKE BEING PUSHED UNDER WATER AND THEN JUMPING OUT GASPING.  Chest pains/pressure in heart area continued from Aug 12th 2022 after vaccine booster thru end of year. Primary issues were ongoing pain/pressure on left side chest around heart along with vastly disrupted sleep cycles, general fatigue, and occasional numbness/loss of sensation in arms, predominantly right arm. I was still able to exercise regularly, and oddly enough the symptoms would come primarily while lying down or at rest. When these conditions still persisted by March 2023, i went for a comprehensive heart checkup (Mar 23, 2023) which included chest X-ray, EKG, 4D Echo Cardiogram and Exercise Stress Test among other checks. Most tests returned normal or borderline-normal, but there was a serious alert during the EST when increased to peak level. This level showed signs of possible heart damage to which the doctor attributed cause due likely from adverse reaction to Covid-19 vaccination and older age. The doctor stopped the test early due to fatigue at 9 minutes.   As a professional long-boat paddler (National Team 2014, 2016, 2018, 2019) having won 2 World Championships and with no history of smoking, alcohol, steroids, or substance abuse, the primary spotlight shines on the vaccine. The doctor further recommended minimizing stress, only mild exercise, no long travel particularly by air, and continuing my abstinence from smoking/drinking. The written diagnosis was as follows: "Overall Impression: EQUIVOCAL. Equivocal exercise stress test (Transient 1-mm upslope ST depression in leads V5-6 at peak exercise). CT coronary angiography or invasive coronary angiography is highly recommended for further investigation of coronary artery disease."  My health insurance would not cover a coronary angiography while abroad (out of network). I continued to follow the doctor's advice in the oncoming months. Symptoms persisted but seemed to gradually improve until in May 2023 i contracted Covid-19 for the first time, and symptoms were again amplified for several months. On Oct 30, 2023 i went for another checkup, and results indicated again borderline-normal, with low heart rate during rest (sinus bradycardia), but high during peak exercise (sinus tachycardia). The doctor recommended following my same previous advice and ideally not to travel unless absolutely necessary. I also noted during some exercise challenges a very specific energy-drop with severe onset fatigue during rigorous routines, like my heart was pumping strong but no energy was flowing to my body in spite of it, something i've never experienced prior to 2022.  In the months since about mid 2024 i've finally started to feel these symptoms gradually improve. On Aug 8, 2024 i did another comprehensive heart checkup which included an exercise stress test, and results proved more positive. I was able to complete a full 12-minute cycle EST, was given clearance to travel again, and encouraged to continue exercising in moderation. The doctor did note ongoing sinus bradycardia. The written diagnosis was as follows: "Overall Impression: NORMAL. Negative EST at high workload. PVCs (RVOT) during recovery phase. No symptoms."  At present i note that while my overall condition has improved there continue to be some concerning symptoms. Ongoing bouts of fatigue and disrupted sleep are an issue, and i persist in monitoring my heart-rate regularly with a pulse oximeter. Often times i notice my heart rate dropping very low (into low 40s), accompanied by general full-body weakness and nausea. I continue to exercise, abstain completely from smoking/drinking/drugs/steroids, and have no family history of heart issues on either my mother or father's side that i am aware of. I am not against vaccination, and hope that the information i've provided may be useful in maintaining safety in any vaccine production/development.