chest pain; heart rate high; heart pounding; heart injury; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency (ra). the reporter is the patient. regulatory number: gb-mhra-webcovid-202202171743477820-lqbrd (ra). other case identifier(s): gb-mhra-adr 26614630 (ra). a 21 year-old male patient received bnt162b2 (comirnaty), administration date 20nov2021 (lot number: fh4751) as dose 2, single for covid-19 immunisation. relevant medical history included: "covid-19", start date: 19oct2020, stop date: 30oct2020, notes: positive covid-19 test. the patient's concomitant medications were not reported. vaccination history included: comirnaty (dose 1), for covid-19 immunisation. the following information was reported: palpitations (medically significant) with onset 25nov2021, outcome "not recovered", described as "heart pounding"; myocardial injury (medically significant) with onset 25nov2021, outcome "not recovered", described as "heart injury"; chest pain (medically significant), outcome "unknown", described as "chest pain"; heart rate increased (medically significant) with onset 25nov2021, outcome "not recovered", described as "heart rate high". the patient underwent the following laboratory tests and procedures: heart rate: (25nov2021) higher; sars-cov-2 test: (20oct2020) positive, notes: yes - positive covid-19 test. clinical course: after getting the 2nd vaccine, the patient noticed his heart rate was higher during exercise, along with a slight pain in the right side of his chest. this did not occur before having the 2nd vaccine. the patient has been regularly running for the past 2 years - around 3 times a week, 5 km per run. the patient had covid in oct2020 and did not have any lasting side effects (no heart pain). he did not have any side effects after the first vaccine either. he first noticed it after running 5 days after the second jab. the pain and increased pulse (heart pounding) did not get worse after having covid in january. it has remained at around the same level and occurs when running. he runs at around a 5m 30s/km pace (according to his running tracker, which he has lots of data on and is why he can name the date the side effects started). the patient is not enrolled in clinical trial. the symptoms did not lead to a hospital stay, was not diagnosed by a medical professional and no blood tests such as certain proteins (troponin) that signal heart muscle damage were taken. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200312091 same patient, vaccine and different dose number and event

test date: 20211125; test name: heart rate; result unstructured data: test result:higher; test date: 20201020; test name: covid-19 virus test; test result: positive ; comments: yes - positive covid-19 test

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