Unstable angina pectoris in a young male after first dose of COVID-19 MRNAvaccine

Abstract

Some side effects regarding COVID-19 vaccination have
been reported. The most common reports of
cardiovascular issues were myocarditis and pericarditis.
Although inflammation is the most common cause in this
matter, there were only a few reports about ischaemic
cases related to COVID-19 vaccines. These reports also
commonly included older men who received a second
dose of mRNA vaccination. We present a 25-year-old man
with chest pain mimicking a heart attack after receiving
the first dose of the mRNA COVID-19 vaccine. There were
no known preceding cardiovascular risk factors. Workups
were done, and the diagnosis made was unstable angina
pectoris. This may remind physicians to increase
awareness of cardiovascular side effects in this
vaccination era, as it may be encountered even in
younger patients. The patient was seen at Dr. Soetomo
General Academic Hospital, Surabaya, Indonesia, in
August 2022.
Keywords: COVID-19 Vaccines, Myocarditis, RNA,
Cardiovascular, Angina, Pericarditis.