Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Extrasystoles, Fatigue, Feeling abnormal, Intracardiac thrombus
Clinical narrative: felt like there was Blood clot trying to pass through his heart and it finally broke through; felt really bad all day; his heart started stumbling; felt run out; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 75 year-old male patient received bnt162b2 (BNT162B2), administration date 08Feb2021 (Lot number: EL3246, Expiration Date: 30Apr2021) at the age of 75 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Diabetes" (unspecified if ongoing); "Blood pressure" (unspecified if ongoing); "heart patient" (unspecified if ongoing). Concomitant medication(s) included: METFORMIN taken for diabetes mellitus; CARVEDILOL taken for blood pressure abnormal. Vaccination history included: Pneumococcal vaccine (Pneumonia shot), administration date: Dec2020, when the patient was 75 years old, for Immunization. The following information was reported: INTRACARDIAC THROMBUS (medically significant) with onset Feb2021, outcome "not recovered", described as "felt like there was Blood clot trying to pass through his heart and it finally broke through"; FEELING ABNORMAL (non-serious) with onset Feb2021, outcome "unknown", described as "felt really bad all day"; EXTRASYSTOLES (non-serious) with onset Feb2021, outcome "unknown", described as "his heart started stumbling"; FATIGUE (non-serious) with onset Feb2021, outcome "unknown", described as "felt run out". The events "felt like there was blood clot trying to pass through his heart and it finally broke through", "felt really bad all day", "his heart started stumbling" and "felt run out" were evaluated at the physician office visit. Patient experienced side effects that he was never able to get any kind feedback from his cardiologist or family doctor and to know for sure if the side effects were related to the vaccine and if he can get the second dose. On the day or the following day that he received the vaccine he was in (Withheld) that his heart started stumbling, He never had a blood clot before but it felt like there was Blood clot trying to pass through his heart and it finally broke through, he felt really bad all day the whole day but it finally went away. He didn't experience anything until the following, he felt the stumbling of the heart again however it wasn't nearly as severe as the first occurrence. and it happened again the following week. the second and third occurrence weren't as severe as the first episode. He wanted to report this event and also wanted to know if he should get the second shot or not as he was avoiding it because of his job and the side effect that he experienced. He had been to the cardiologist and his family doctor and they did not provide a clear answer if he should get it and when he pressed the physician informed him that it is up to him to decide however it was better to get it because of his underlying conditions. Now he was confused if he should get it or not. He felt stumbling that's what how he describe it, stumbling in the heart and it was very painful but after a while it went away, one week after he felt the same but it was not as severe as first stumbling that he experience and it happened one more time the following week so it happened 3 times. When paraphrased the above concern, consumer stated, the stumbling was not painful it was just scary and because he was a heart patient and a diabetic it was the kind of, it got her 'not clear' and it scared him after wards it settle down then he just felt really bad all day, he just felt run out, it was just not first time he felt bad all day and then it again the next week but it was not that severe, he just felt it happening but feeling bad for the rest of the day and the following week another day it was the same thing. Therapeutic measures were not taken as a result of intracardiac thrombus, feeling abnormal, extrasystoles, fatigue.  No follow-up attempts are possible. No further information is expected.