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. 2021 Sep 24;5(10):ytab375. doi: 10.1093/ehjcr/ytab375
Date Event
7 days prior to admission
  • Patient received first dose of COVID-19 vaccination (Pfizer-BioNTech).

Day 1 admission
  • First symptoms of sharp, positional chest pain (worse on lying flat), shortness of breath, and cough.

  • Presented to the emergency department, electrocardiogram showed sinus tachycardia, with widespread concave ST elevation (lead I, II, III, AVL, AVF, and V2–V6) and reciprocal ST depression.

  • Hospital admission.

  • COVID-19 PCR testing negative.

Day 2 admission
  • Echocardiography showed 1.1-cm pericardial fluid surrounding the entire heart.

  • Treated with non-steroidal anti-inflammatory and paracetamol.

  • Resolution of symptoms.

Day 3 admission
  • Discharge from hospital.

7 weeks post-admission
  • Repeat echocardiogram showed resolution of pericardial fluid.