Heart Health Concerns: Should I Get the Second Vaccine Dose?

Heart exhaustion - My cardiologist actually asked me to consult the neighborhood chief to determine if I am suitable for receiving the second dose?

Hello, doctor! After receiving my first dose of the BNT vaccine on October 13, I experienced no side effects.
Nineteen days later, I developed symptoms of chest tightness, palpitations, and shortness of breath.
I immediately went to the emergency room, where the doctor determined it was due to excessive anxiety.
Subsequently, I consulted a cardiologist and underwent a 24-hour Holter monitor and echocardiogram, confirming a diagnosis of mitral valve prolapse and autonomic nervous system dysregulation.
I have been taking three capsules of a medication daily and one capsule of Ambien at bedtime for a month.
Due to my fear of crowded emergency rooms, the cardiac enzyme tests took over twelve hours, and the pressure of needing to use the restroom made me reluctant to receive the second dose.
My doctor prescribed a three-month supply of chronic medication, which I am almost finished, and my symptoms are improving.
Recently, I have been receiving calls from community leaders, expressing concerns that the vaccine's efficacy may be waning after four and a half months, especially given my age and the high mortality rate from severe cases.
This has triggered a panic response that lasted two to three days.
My doctor prescribed an additional Ambien, but I am unsure whether to take it daily in the morning and evening or only during episodes.
I have inquired whether I am experiencing a severe allergic reaction and whether it is advisable to receive the second dose or switch to a different brand.
What should I do if palpitations recur after the second dose? My doctor surprisingly responded, "If the community leader wants you to get vaccinated, you should ask them!" This did not provide a clear answer and only increased my anxiety and distress.
I feel exhausted! Given that it has been four months since my first dose, what should I do? Thank you for your guidance!

Rita, 60~69 year old female. Ask Date: 2022/02/22

Dr. Wu Xueming reply Cardiology

It is recommended that you consider receiving a second dose of a different brand vaccine with fewer side effects, such as Medigen, to reduce the aforementioned symptoms.

Reply Date: 2022/02/22

More Info

When considering whether to receive the second dose of the COVID-19 vaccine, particularly in light of your recent health concerns, it's essential to approach this decision with careful consideration and consultation with your healthcare provider. Based on your description, you experienced symptoms such as chest discomfort, palpitations, and shortness of breath after your first dose of the BNT vaccine. These symptoms were evaluated and attributed to anxiety rather than a direct reaction to the vaccine. However, you also have a history of mitral valve prolapse and autonomic nervous system dysregulation, which can complicate your situation.

Firstly, it is important to understand that the benefits of vaccination against COVID-19 generally outweigh the risks, especially for individuals with underlying health conditions. Vaccination helps protect against severe illness, hospitalization, and death from COVID-19, particularly as the effectiveness of the vaccine can wane over time. Given that you received your first dose over four months ago, the protective effects may indeed be diminishing, and it is reasonable to consider the timing of your second dose.

Regarding your concerns about potential side effects from the second dose, it is crucial to communicate openly with your healthcare provider about your medical history and any symptoms you have experienced. If you are worried about the possibility of experiencing palpitations or other symptoms again after the second dose, you might discuss the option of receiving a different vaccine brand that may have a different side effect profile. Some patients have reported fewer side effects with certain vaccines, and your doctor can help guide you in making this decision.

As for the anxiety and panic attacks you mentioned, these can significantly impact your overall health and well-being. It may be beneficial to continue your current medication regimen as prescribed by your doctor, including the use of Xanax for anxiety. If you are unsure whether to take it daily or only during episodes of anxiety, it would be best to clarify this with your healthcare provider. They can provide guidance based on your specific situation and how you have been responding to the medication.

If you experience any severe allergic reactions or other concerning symptoms after receiving the second dose, it is essential to seek medical attention immediately. Your healthcare provider can also discuss the potential for monitoring you after vaccination to ensure your safety.

In summary, while it is understandable to feel anxious about receiving the second vaccine dose, especially given your medical history, it is important to weigh the risks and benefits carefully. Consult with your healthcare provider to discuss your concerns, the possibility of switching vaccine brands, and the management of your anxiety. They can help you develop a plan that prioritizes both your heart health and your mental well-being. Remember, vaccination is a critical tool in protecting yourself and others from COVID-19, and your healthcare team is there to support you through this process.

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