Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Lower respiratory tract infection, Painful respiration, Pericarditis, Productive cough, Pulmonary function test normal
Clinical narrative: I was administered the first Moderna Covid Shot (Lot #010M20A) on 2-11-2021 and the second shot (Lot#026A21A) on 3-11-2021. I felt no reaction from either shot except for mild arm soreness where the vaccine was given. This soreness disappeared within a day or two.  About a week after receiving my second shot of Moderna, I started having mild chest pains. I did not relate these pains to a Covid shot. On the evening of March 31, 2021, I was feeling tired and told my wife I would take a bath and go to bed, which I did. I couldn't get comfortable in bed as my chest was hurting, so I got up and sat to watch TV for a while. While sitting up, the chest pain went away. I went back to bed, and the chest pain intensified anI went back to bed, and the chest pain intensified and was radiating down my left arm. I got up and told my wife I thought I was having a heart attack. She immediately drove me to the hospital, where I was admitted to the Emergency Room and given a battery of tests. At 5:00 AM, I was admitted to the hospital overnight for more testing. On April 1, the diagnosis was pericarditis. The hospital doctor prescribed Colchicine which I took daily. On April 25 I sent a message to my Dr., my Cardiologist: I wanted to update you on the status of my symptoms. I have been taking an antibiotic ( Doxycycline Hyclate 100 MG) for the past three weeks. Today I ran out of the prescription. It doesn't seem to matter as I have continuously hacked up sputum all day for the past three weeks. The anti biotic doesn't seem to be doing any good. Also my pericarditis used to be causing me pain only when I lay on my back in bed. For the past week, it is causing me pain in my chest and shoulder when I stand or sit. It is not severe pain, but it is there. It appears to be getting worse. I have run out of my Ibuprofen prescription and have been taking Advil (three 200 MG pills). I had an appointment with Dr. (Rheumatologist) on 4/27 and she seemed to believe that my heart issue was associated with my upper chest condition. I have an appointment with Dr. (Pulmonary) on May 4. Medication doesn't seem to be helping. Any suggestions?  I just want to confirm with you that you are taking the Colchicine daily as well? Thank you, RN.  Yes, I am taking the Colchicine daily, but as I indicated, my chest pain seems to be getting worse, not better. My chest pain is there even if I am not lying down. It is not severe, but it is there when I breathe.  On May 4, 2021, I visited Dr., a Pulmonologist, for coughing up yellow sputum. He prescribed a PredniSONE taper and scheduled a complete pulmonary function test in late June.  On July 8, I visited Dr., and he stopped the prescription for Colchicine as he believed the pericarditis was resolved. Also, on July 8, I saw Dr., Pulmonologist, and he believed my upper chest infection had been resolved, but scheduled a full pulmonory test on my lungs which was done on July 28. It showed my lungs were clear and breathing normally. "This test showed no obstructive or restrictive ventilatory defect. Overall, lung volumes are normal. Diffusion capacity is also normal."