Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia, SARS-CoV-2 test, Tachycardia
Clinical narrative: Heart pain worse lying down and on exertion- stayed propped up; Can't think well; Brain fog; Chest pains and discomfort; Chest pains and discomfort/ felt like a elephant on chest; Reduced ability to ambulate due to chest pain; Tachycardia; Had fever (102 f); My arm was more swollen than the time before; The pain was more delayed than the time before/pain over hours spread across my upper back into my right arm and chest and back; Chest back pain worse with movement; Could not stand for two days due to pulse getting even higher standing.; Could not stand for two days due to pulse getting even higher standing.; Entire upper torso hurt.; Felt short of breath/ it hurt to breathe in; it hurt to breathe in; had to use urinals from bed because pulse; This is a spontaneous report from a contactable consumer (patient). A 38-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in left arm on 10Jun2021 15:30 (at age of 38 years old, Lot Number: EW0180) as a single dose for covid-19 immunization. The patient medical history was not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included lorazepam, diazepam, paroxetine, bisoprolol. The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in right arm on 20May2021 12:15 PM (at age of 38 years old, Lot Number: EW0167) as a single dose for covid-19 immunization. The patient experienced brain fog and chest pains and discomfort, reduced ability to ambulate due to chest pain, tachycardia, had fever (102 f). After receiving the vaccine on 10Jun2021 22:00, the patient arm was more swollen than the time before and the pain was more delayed than the time before. This time the injection pain over hours spread across my upper back into he right arm and chest and back. He had tachycardia and had to increased beta blocker (bisoprolol). Could not stand for two days due to pulse getting even higher standing. Temp of 102. Entire upper torso hurt. Heart pain worse lying down and on exertion-stayed propped up. Chest back pain worse with movement. Felt short of breath. Thought had caught COVID while getting vaccine tested three times, was negative each time. Chest pain and tachycardia slowly improving, but brain fog has been impossible. Can't think well. Having moment of clarity now which was why writing now. It hurt to breathe in, felt like elephant on chest, had to use urinals from bed because pulse. The events result in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. Treatment received included Increased bisoprolol dosage for tachycardia. Since the vaccination, the patient had been tested for COVID-19. Nasal Swab, Pixel by  on 15Jun2021 was Negative. The outcome of the events " Chest pain and tachycardia" was recovering, for event " Can't think well, Brain fog" was not recovered. The outcome of other events was unknown.