Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrioventricular block complete, Influenza virus test negative, Intensive care, Malaise, SARS-CoV-2 test negative
Clinical narrative: BAD HEADACHE; BLOOD CLOT IN CHEST AREA; HEART ATTACK; FELL DOWN 3 TIMES; CHEST PAIN; BODY ACHE; STOPPED EATING; SORE THROAT; MUSCLE ACHE; FEELING BAD; FEVER; This spontaneous report received from a consumer and concerned a 63 year old male. Initial information was received on 15-APR-2021, with additional information obtained via telephone follow up from a wife of patient on 21-APR-2021.  The patient's weight was 201 pounds, and height was 72 inches. The body mass index was 27.3. The patient's past medical history included blood clot, and concurrent conditions included high blood pressure and smoker. No family history of heart disease. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number:1805029, expiry: UNKNOWN) dose was not reported, administered on 16-MAR-2021, in the morning, for prophylactic vaccination. Concomitant medications included pyridoxine hydrochloride, and vitamin B 12 (cyanocobalamin). He has not been taking medication for blood pressure since his last visit to his doctor over a year ago. On 16-MAR-2021, the patient received the vaccine in the morning. Later same day, the patient felt jittery, feverish, and complained about headache. On 16-MAR-2021, the patient experienced  sore throat. On 16-MAR-2021, the subject experienced muscle ache, body ache, stopped eating and feeling bad. On 17-MAR-2021, the patient went back to the clinic where he received the vaccination. He was told he had a fever. The vaccination clinic staff did a Covid-19 test and it was negative. He was sent home with a prescription for a sore throat medication. On 17-MAR-2021, the patient experienced feeling sick, head was really bad and developed chest pain.   On 18-MAR-2021, the patient fell 3 times walking to the mailbox. On 19-MAR-2021, the patient continued to feel poorly and could not walk. His wife called an ambulance. He was admitted to the local hospital and was found to have a clot in the chest area. The local hospital was not able to further help him, so a temporary pacemaker was placed through his groin and he was flown to another hospital. At the hospital, a procedure was performed to place 2 stents into his heart. The wife confirmed that the patient had a heart attack on unspecified date in MAR-2021. The wife was not aware of any blood tests results or if Covid-19 testing was repeated.  On 24-MAR-2021, the patient died from blood clot. It was unknown if an autopsy was performed. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient died of blood clot in chest area, bad headache, muscle ache, chest pain, body ache and stopped eating on 24-MAR-2021, had not recovered from fever, and feeling bad, and the outcome of sore throat, fell down 3 times and heart attack was not reported. This report was serious (Death, Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender's Comments: V0: A 63-year-old  man experienced a "blood clot in chest area" confirmed by his wife to be a heart attack 3 days after vaccine and the patient died 8 days after vaccine. Medical history included blood clot and concurrent conditions included high blood pressure and smoker. No family history of heart disease. Concomitant medications included pyridoxine hydrochloride, and vitamin B 12 (cyanocobalamin). He has not been taking medication for blood pressure since his last visit to his doctor over a year ago. One day after vaccine, the patient had a fever and tested negative for Covid-19. He was sent home with a prescription for a sore throat medication. He developed chest pain. Two days after vaccine, the patient fell 3 times walking to the mailbox. Three days after vaccine, the patient continued to feel poorly and could not walk. His wife called an ambulance. He was admitted to the local hospital and was found to have a heart attack. The local hospital was not able to further help him, so a temporary pacemaker was placed through his groin and he was flown to another hospital. At the second hospital, a procedure was performed to place 2 stents into his heart. 8 days after vaccine, the patient died. Given risk factors of age, smoking, and hypertension without taking anti-hypertension medication, there is an plausible alternate explanation for the event.; Reported Cause(s) of Death: BLOOD CLOT