Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Drug ineffective
Clinical narrative: Stress; Heart arrhythmia; This is a spontaneous report received from a Consumer or other non HCP from product quality group.  A 75-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 22Jul2023 as dose 4 (booster), single (Lot number: SP7132) at the age of 75 years, in arm for covid-19 immunisation. The patient's relevant medical history included: "high blood pressure" (ongoing), notes: take high blood pressure medicine and take a statin; "I have a heart arrhythmia" (ongoing), notes: comes and goes; "chronic bronchitis" (ongoing). The patient took concomitant medications. Vaccination history included: comirnaty (DOSE 1, at the hospital and Lot number# EN6206, put in arm), administration date: 09Mar2021, when the patient was 72-year-old, for COVID-19 Immunization, reaction(s): "never had a reaction to these vaccines"; comirnaty (DOSE 2, Lot number# EP7533, put in arm), administration date: 30Mar2021, when the patient was 72-year-old, for COVID-19 Immunization; comirnaty (DOSE 3(BOOSTER), at the hospital and Lot number# 30130BA, put in arm), administration date: 03Nov2021, when the patient was 73-year-old, for COVID-19 Immunization. The following information was reported: ARRHYTHMIA (medically significant) with onset 26Sep2023, outcome "unknown", described as "Heart arrhythmia"; STRESS (non-serious), outcome "unknown". The patient underwent the following laboratory tests and procedures: Weight: from 112 to 115, notes: 115, sometimes it's even less than that. Anywhere from 112 to 115. Clinical course: Consumer stated, "I am calling because I did not get the latest COVID vaccination because I checked with the (institute name withheld), apparently people in my doctor's office were saying like the nurse practitioner that Pfizer's or mRNA vaccines, Moderna and Pfizer was causing Heart arrhythmia's more than they were causing Myocarditis. Myocarditis is advertised all the time but nobody ever says anything about Heart arrhythmia and I think that public needs to know that. There is a percentage of people more than the Myocarditis having Heart arrhythmias and what bothers me is I always got them, I never had a side effect but this past fall I developed a Heart arrhythmia that lasted for 5 straight days and then went away pretty much and then came back again and it says that people are predispose to the Heart arrhythmias are more apt to get them with the vaccine. I know that you can't make  vaccine perfect and you would like to and I am not blaming Pfizer but I don't know why it's not put out more. It is more prevalent for the Agency than Myocarditis and one time on it and it couldn't get rid of it for 3 months because nobody told them that was a side effect. So my question is why it's not told? Myocarditis everybody knows that but since the arrhythmia seems to be more prevalent and not just rare. Now I am afraid to have it again because of that even though I had no side effects before but I started having arrhythmia that I got. I am predisposed to it but it got really bad over stress and now I can't get the vaccine. Also you put out Paxlovid, I am not trying to be a problem person but I cannot swallow large pills plus I take a statin so I am kind of like what can I do? I feel scared to quit taking statin although I might do it for 5 days but I can't swallow the pill. The pharmacist told me you can't cut it up and there's another one called, in a capsule I can't swallow the capsule. So what I am supposed to do?" Consumer stated, "I have taken 4 vaccines of Pfizer and I never had really much of a reaction. The last one  I took was 22Jul and my Heart arrhythmia started 26Sep of this year. I have had Heart arrhythmia years ago but I have never had anything bad like this and this started and I guess it was stress which spread it on. I don't have it now but the people who are predisposed to arrhythmias, Agency says they are pretty apt to get an arrhythmia from this vaccine. So now I am scared to take it and it's a fact and then Agency says arrhythmias are a lot more common than Myocarditis. So, I don't know if you are working on something to correct that. If you are working on an alternative to Paxlovid for people who can't swallow giant size pills. I can't take anything now and I am worried about it. It's not just Pfizer, it's Moderna too. Its a mRNA vaccine." Consumer stated, "I just went. We didn't need anybody to prescribe it. We are allowed to go just get it. I always got it at hospitals." "I never had any problems with them when I got them. My problem is I developed arrhythmia since then, a year later which I do not blame Pfizer for it, its something that runs in my Family. But I do not want Pfizer to make it worse and they say that Pfizer and even the nurse practitioners are saying a lot of people  come to the (Name withheld) offices with heart issues (Further details were not available, hence split not made) after receiving the Pfizer COVID vaccine. Not Myocarditis but arrhythmia problems." Consumer wanted know that are Pfizer and Moderna doing anything to make the vaccine safer for people so they won't be afraid of having heart issues.