Vaccine Side Effects or Anxiety? Heart Symptoms After BNT - Cardiology

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Is it excessive anxiety or vaccine side effects?


Hello, after receiving the BNT vaccine last week, I went to the emergency room a few days later due to discomfort, but no issues were found upon examination.
On Monday, I visited a cardiologist for follow-up, and the doctor advised me to monitor my condition at home.
However, over the past few days, I have been feeling a bit uneasy, occasionally experiencing shortness of breath and some sharp pain near my left chest and back.
Should I go to the emergency room again (I feel it might be a waste of medical resources)? Also, can myocarditis heal on its own? Thank you.

TIM, 20~29 year old female. Ask Date: 2021/10/06

Dr. He Dongjin reply Cardiology


Hello everyone, many are scared by the television and feeling too anxious.
There is no need to rush to the emergency room.
True myocarditis cannot heal on its own, and the symptoms are not as simple as just relaxing.
Changhua Hospital cares about you.

Reply Date: 2021/10/06

More Info


After receiving the BNT vaccine, it is not uncommon for individuals to experience various symptoms, including those related to the heart. Your concerns about heart symptoms, such as shortness of breath and chest pain, are valid, especially after vaccination. However, it is essential to differentiate between potential vaccine side effects and anxiety-related symptoms.

Firstly, the BNT vaccine (Pfizer-BioNTech) has been associated with some mild to moderate side effects, including fatigue, headache, muscle pain, chills, fever, and, in rare cases, myocarditis (inflammation of the heart muscle) and pericarditis (inflammation of the outer lining of the heart). These side effects typically occur within a few days after vaccination and are usually self-limiting. The incidence of myocarditis and pericarditis is higher in younger males, particularly after the second dose, but it remains a rare occurrence overall.

In your case, since you have already visited the emergency department and had a follow-up with a cardiologist who found no significant issues, it may be more likely that your symptoms are related to anxiety rather than a direct result of the vaccine. Anxiety can manifest physically, leading to symptoms such as chest pain, palpitations, and shortness of breath. This is particularly common in individuals who are hyper-aware of their health status after receiving a vaccine, especially given the current climate surrounding COVID-19.

Regarding your question about myocarditis, while mild cases can resolve on their own, it is crucial to monitor symptoms closely. If you experience persistent or worsening symptoms, it is advisable to seek medical attention. In most cases, myocarditis may require treatment, including medications to reduce inflammation and manage symptoms. However, many individuals recover fully with appropriate care.

If your symptoms are mild and manageable, and you have reassurance from your healthcare provider, it may not be necessary to return to the emergency department unless you experience severe symptoms such as significant chest pain, difficulty breathing, or fainting. It is essential to listen to your body; if you feel that something is not right, it is always better to err on the side of caution and seek medical advice.

In terms of self-care, consider engaging in relaxation techniques such as deep breathing exercises, meditation, or gentle physical activity, which can help alleviate anxiety and improve your overall well-being. Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can also support heart health.

Lastly, if you are considering receiving additional vaccinations, such as the flu vaccine, consult with your healthcare provider. They can provide personalized advice based on your medical history and current health status.

In summary, while it is essential to be vigilant about any new or unusual symptoms following vaccination, it is equally important to consider the role of anxiety in your experience. Continue to monitor your symptoms, practice self-care, and maintain open communication with your healthcare provider to ensure you receive the best possible care.

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