NEUROPATHY; OCCASIONAL PAINS IN THE MIDDLE OF HEART; NASAL SINUS SURGERY; HEART SPASMS INVOLUNTARILY; TIGHTNESS OF LEG BELOW KNEES; OCCASIONAL PAINS IN CENTER OF CHEST; HEART SKIPPED BEATS WORSENED; HIGH BLOOD PRESSURE; SWELLING ON FOREHEAD; STRESS; ANXIETY; SUPPRESSED APPETITE; BLOATING; MURMURS WORSENED; EQUILIBRIUM WAS OFF; CAVITY; WHITE BLOOD CELL COUNT ELEVATED; MOUTH SMELL; PISTACHIO-SIZED BUBBLING IN HEART, VIBRATIONAL BEATS AND SCRATCHING FROM STERNUM UP TO NECK; THROAT BELOW ADAM'S APPLE FEELS TIGHT; THROAT BELOW ADAM'S APPLE FEELS VERY SCRATCHING; HEART WAS RACING; TINGLING IN HIS RIGHT ARM AND RIGHT LEG; HEADACHES; FATIGUE; BURNING SENSATION; RADIATING PAIN OF PECTORAL MUSCLES; IRREGULAR BEATS; CHANGES IN STOOLS; DEVELOPING METALLIC SULFURIC TASTES; This spontaneous report received from a patient concerned a 47 year old male of unspecified race and ethnicity. The patient's height, and weight were not reported. The patient's past medical history included: On MAR-2021 patient had covid and from MAR-2021 until 18-AUG-2021, he never had any side effects. Patient had prior history of ulcers (almost died 20 years ago), car accident, and crown, and concurrent conditions included: Patient moved into a wooden condo in OCT-2020, and later there was a matter assessment that found a lot of microbial growth, and the air ducts were clogged. On MAR-2021 patient developed murmurs for the first time in his life. Patient had chest X-rays that were negative, but his symptoms had exacerbated to the point where his heart was skipping beats involuntarily, after having the first cardiologist do an echo in MAR-2021, the cardiologist did a test on his white, red, and protein levels. Patient was told by an orthopedic surgeon, that due to severe osteoarthritis from wear and tear and from playing tennis and being in a car accident, his right shoulder was to the point that he needs surgery and other pre-existing medical conditions included Patient was not diabetic. Patient previously worked for a CDL (commercial drivers license) dump truck driver for a construction company. It was confirmed the patient did not have myocarditis nor infectious disease by a rheumatologist. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, batch number and expiry date were not reported) dose was not reported, 1 total administered on 18-AUG-2021 for covid-19 prophylaxis. The batch number was not reported and has been requested. No concomitant medications were reported.  On OCT-2021 (two months after vaccination), the patient experienced changes in stools, developed metallic and sulfuric tastes. Patient's stool had the same color, texture, and smell for 8 weeks despite what he consumed, which prompted him to go to his primary care doctor. Patient had A1c (hemoglobin A1C) which was normal. Patient had colonoscopy which showed a pristine colon. Patient had a lot of lab work, which included ketoacidosis, kidney function (renal function test), and iron panel (serum iron). Patient went to saw a dentist for the smell in his mouth, but the dentist said he had no sign of abscessed teeth, but he had a cavity. Patient went to saw a gastrointestinal doctor as well, but he thought the smell was coming from his teeth. The patient started to develop headaches, swelling on his forehead, tingling in his right arm and right leg (tingling in extremities), murmurs, equilibrium was off. The patient had chest X-rays that were negative, but his symptoms had exacerbated to the point where his heart was skipping beats involuntarily and heart spasms involuntarily (Cardio spasm). A neurologist stated that he thought patient stress and anxiety were causing his high blood pressure. A cardiologist put the patient on a 30-day monitoring trial, which was followed up with an echocardiogram. On FEB-2022, the patient wore a heat monitor that found irregular beats, and followed up with an echocardiogram, stress test, and chest x-ray, which showed everything was fine. The patient reported, up to that point, he started to developed fatigue, a suppressed appetite, bloating, tightness of his leg below the knees, and had skipped beats that would made his body lean involuntarily forward, and his body went into fight or flight response in a way that after that beat occurred, his body would light up. The patient stated he would have headaches and tingling in his right arm and right leg. Patient went to the emergency room because he thought he was having a stroke. The patient experienced things in his chest, felt movement in his chest, so he went to pulmonary doctor and had a bronchial scope. The cardiologist did a test on his white, red, and protein levels. Patient underwent white blood cell count which was a little elevated. It was confirmed the consumer did not have myocarditis nor infectious disease by a rheumatologist. All the murmurs and skipped beats have gotten worse. Patient experienced stress and anxiety. The patient was told, maybe he needs anti-depressants or anti-anxiety medications because the doctor said the x-ray didn't showed exposure to mold or diesel fumes, and his lungs look great. Patient stated that when he lays down, he feels like there was a pistachio-sized bubbling in his heart (bubble chest sensation). Patient described if you were to take a finger and push into his throat below his Adam's apple, it feels tight (throat tightness) and very scratching (throat irritation). Patient underwent computed tomography (CT) scan which was negative. The patient said he just saw an allergist recently. The patient described that from his sternum to his neck, it felt like a piece of licorice is stuck in his chest. The patient further explained it felt like there was a pistachio-sized bubble. On SEP-2023 (over the last two weeks from the day of reporting), he had burning sensations, and radiating pain that goes from the center of his chest, to more upward towards his pectoral muscles and outwards towards his shoulders. The patient had occasional pains in the middle center of his heart and chest (chest pain) that last for 1 or 2 seconds, but it felt like something lodged in his heart. There had been instances, where his adrenaline starts pumping, and he would feel from his sternum to the bottom of his throat like someone was stretching a rubber band and flicking the center of the rubber band. Patient noted nothing was wrong with his head, but he keeps having painful vibrational beats and scratching from sternum up to his neck. Patient described it was spreading at a steady rate into the bottom of his throat. Patient was put on glutathione. The patient had neuropathy as well.  The patient recalled instances where he is watching a football game, then adrenaline starts pumping from his sternum to the bottom of his throat. He said all the way from his sternum to the bottom of chest, it feels like a valve shuts off and something was moving. Patient underwent colonoscopy, upper gastrointestinal tract (endoscopy), seen an ophthalmologist for his vision, and had a sleep study test with use of a continuous positive airway pressure (CPAP) machine, and had nasal sinus surgery. Patient also recalled where he went to saw a movie and had a margarita beforehand. During the movie, his heart was racing to the point that he thought he would have a heart attack. Patient said he had tried supplements, but he did not provide details about the name of the supplements. Patient truly believed his living environment, vaccine shot, and his driving job had to do with symptoms. Based on the way he felt, the patient didn't think he would be around for the next two years. Patient said he had not spit out any blood or vomited any blood. Patient was trying to eliminate salt and sugar from diet. Patient noted the specialists were telling him his body was normal, but he knows something was wrong. He had seen several providers. Patient said nothing was working, but his situation was continuing to get worse. The patient said it was very disheartening to go to providers, and they tell him everything looks fine. The patient stated this situation was physically and mentally demanding.  The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headaches, tingling in his right arm and right leg, fatigue, tightness of leg below knees, burning sensation, radiating pain of pectoral muscles, occasional pains in center of chest, heart skipped beats worsened, heart spasms involuntarily, high blood pressure, occasional pains in the middle of heart, changes in stools, developing metallic sulfuric tastes, swelling on forehead, stress, anxiety, suppressed appetite, bloating, murmurs worsened, cavity, equilibrium was off, mouth smell, irregular beats, pistachio-sized bubbling in heart, vibrational beats and scratching from sternum up to neck, throat below adam's apple feels tight, throat below adam's apple feels very scratching, neuropathy, and heart was racing, and the outcome of white blood cell count elevated and nasal sinus surgery was not reported. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20231019738.; Sender's Comments: V0:20231019612-neuropathy, occasional pains in the middle of heart, nasal sinus surgery. The event has an unknown/unclear temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event. Therefore, the WHO Causality is considered indeterminate. The company causality is considered unassessable.