Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Sneezing, Tidal volume
Clinical narrative: Pericarditis; Myocarditis; Very sudden weakness; Cough; Sneezing; Shortness of breath; Brain fog; Nasal infect rate; bilateral pulmonary infusion; In frustration; This is a spontaneous report from a contactable physician (patient). This 91-year-old male patient received the second dose of bnt162b2 (COMIRNATY), via an unspecified route of administration on 23Feb2021 (at the age of 91-year-old; Lot number: EN6203) as DOSE 2, SINGLE for COVID-19 immunization. Medical history included pacemaker. Concomitant medication included apixaban (ELIQUIS) for stroke. The patient previously received the first dose of bnt162b2, on 02Feb2021 (at the age of 91-year-old, Lot number: EN5318) as single dose for COVID-19 immunization, and after the first shot, he experienced stroke, affected his vision, shortness of breath, cough and marked weakness, about half his strength; lesion mass, scar on the base of his heart. The patient is a retired family practice physician. Patient reported being a very healthy person, never had an illness and has had all kinds of health things come up since receiving the vaccine. Patient had no hypertension and no diabetes, basically he had no illness, he was super healthy all his life. He had a pacemaker which he did not consider an illness. He described his adverse events as "all kinds of phenomenon" and had been told by his physicians to "give it more time". Patient stated that he enjoyed excellent health for 91 years. He had never been sick, never been sick in his life and he had received the two doses of Pfizer BioNTech Vaccine and had all kind of health problems ever since, of which, have with most of the doctor that he consultant he was concerned of a long Covid type of reaction. About 3 weeks after the 2nd shot. Patient waken with (in 2021), it was very sudden weakness, cough, shortness of breath, brain fog but no fever and subsequently that, he had been examine by internist and cardiologist and they really don't know, what going on and the cough and shortness of breath had continue ever since more march of this year. Patient would tell the doctors that, he was short of breath and sneezing and coughing and they were just say, would not say anything. They didn't see very concern about that. Anyhow, finally his internist said, patient should say a pulmonologist and he did have a appointment with pulmonologist but she said, it was urgent but he could not receive the pulmonologist until the Feb of next year so, concern, he went to the urgent care, a place here and got a chest X-ray which showed that, he had nasal infect rate and bilateral pulmonary infusion (basilar fluid at the base of his lungs). You know something is going on ever since Feb and he was, you known in frustration. Patient knew following this Covid long, covid symptoms with and side effects and you know recently discovered pericarditis and myocarditis and things, like that, it's on going learning process for doctors you know the vaccine. All the effect also from the virus but effect of vaccine, it's on to on learning process, been a retired physician himself. He just start doing to find out what going on. Patient acknowledged the reports of myocarditis and pericarditis on rare occasions came out after his vaccine doses were administered. Patient stated that he had not basically received any treatment. Lab data included SARS-CoV-2 test (nasal test for the virus): negative in 2021; Blood tidal test: unknown results in 2021. Outcome of events was unknown.; Sender's Comments: As there is limited information in the case provided, the causal association between the given events and the suspect drug BNT162B2 cannot be excluded. The case will be reassessed once new information is available.