Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Fibrin D dimer, Laboratory test, Lethargy, Pain in extremity
Clinical narrative: CHEST WAS SQUEEZED; HEART PAIN; CONFIRMED COVID-19 INFECTION; VERY LETHARGIC; ARM PAIN; This spontaneous report received from a patient concerned a 28-year-old male. The patient's height, and weight were not reported. The patient's concurrent conditions included: sulfa allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 211A21A expiry: UNKNOWN) dose was not reported, one total, administered at right arm on 28-OCT-2021 for prophylactic vaccination. No concomitant medications were reported. On 28-OCT-2021, First before getting the vaccine patient did a Covid-19 test and it showed negative IgG (Immunoglobulin G (IgG)) and negative IgM (Immunoglobulin M (IgM)) and patient never tested positive for Covid infection in the past 20 months. Laboratory data included: Blood test (NR: not provided) Negative. On 29-OCT-2021, Patient started to experience normal stuffy nose, cough, sore throat, lethargic and arm pain (Pain in extremity). Patient was miserable until Sunday 31-OCT-2021. On 31-OCT-2021, patient noticed that he lost his taste and smell was gone. On 01-NOV-201 Monday morning, he had heart pain and shortness of breath that lasted until Wednesday 03-NOV-2021. Patient went urgent care where they did a rapid antigen test which came back as positive test. He had another Polymerase chain reaction (PCR) test on Thursday 04-NOV-2021 and it was also positive. The Polymerase chain reaction (PCR) was positive, while in Urgent care, they sent him for electrocardiogram (EKG) and it was abnormal. Patient went to emergency room (ER) from urgent care. They did several test. Patient did the D-dimer test and chest x-ray, all of that blood clots test, another EKG, troponin, blood test. Everything came back fine. He was discharged but until this day and he still had heart pain and shortness of breath. All other symptoms were gone except that he had no energy and he was very lethargic. He cannot exercise, he can only walk. Laboratory data included: COVID-19 antigen test (NR: not provided) Positive Covid infection, Chest X-ray (NR: not provided) Normal, EKG (NR: not provided) Normal, abnormal, Fibrin D dimer (NR: not provided) Normal, Laboratory test (NR: not provided) Normal, and Troponin (NR: not provided) Normal. On 04-NOV-2021, Laboratory data included: PCR (NR: not provided) Positive. On unspecified date, patient was on a plane and he felt like his chest was squeezed. He was not prescribed any medications.  The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from confirmed covid-19 infection, very lethargic, and heart pain, and the outcome of chest was squeezed and arm pain was not reported. This report was serious (Other Medically Important Condition).; Sender's Comments: V0: 20211155211-COVID-19 VACCINE AD26.COV2.S-Heart pain. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).