Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Anxiety
Clinical narrative: couple of sharp pains from the heart/ heart pains were random and in the middle of the day, and the heart pain occurred about three times a day for 6 days; was scary and frightening/ is worried; This spontaneous case was reported by a consumer and describes the occurrence of ANGINA PECTORIS (couple of sharp pains from the heart/ heart pains were random and in the middle of the day, and the heart pain occurred about three times a day for 6 days) in a 52-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Family history included Heart attack (Patient's father died of Heart attack) since an unknown date. Concurrent medical conditions included Hypercholesterolaemia. Concomitant products included SIMVASTATIN for Hypercholesterolaemia.    On 27-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In July 2021, the patient experienced ANXIETY (was scary and frightening/ is worried). On 28-Jul-2021, the patient experienced ANGINA PECTORIS (couple of sharp pains from the heart/ heart pains were random and in the middle of the day, and the heart pain occurred about three times a day for 6 days) (seriousness criterion medically significant). The patient was treated with ASPIRIN [ACETYLSALICYLIC ACID] ongoing since an unknown date for Cardiac pain, at an unspecified dose and frequency. At the time of the report, ANGINA PECTORIS (couple of sharp pains from the heart/ heart pains were random and in the middle of the day, and the heart pain occurred about three times a day for 6 days) had resolved and ANXIETY (was scary and frightening/ is worried) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       The day after the vaccination (28-Jul-2021), the patient reported he experienced a couple of sharp pains from the heart.  He stated the heart pains were random and in the middle of the day, and the heart pain occurred about three times a day for 6 days and resolved.  The  patient worried it may have been thrombosis, myocarditis or pericarditis and said it was scary and frightening. The patient stated he was worried that the second dose might cause him to have a heart attack. He did not experience any breathing problems.  He reported that he started taking aspirin to treat the heart pain and is still taking aspirin.   The patient did not go to the emergency room or see a healthcare provider initially.  He stated that he later on he informed his primary care physician of the events, and the physician advised him against receiving the second dose in the series.  The patient reported that he also made an appointment with a cardiologist and the cardiologist advised him to get the second Moderna dose if he wants to.  Relevant past medical history includes the caller's father died of a heart attack at age 50.    He stated that he has had no heart problems or heart issues in the past. The patient mentioned that he has no known drug or food allergies.  Company Comment Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. Further information has been requested; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. Further information has been requested