VAERS ID: 1771772

AGE: 17| SEX: F|STATE: CA (United States)

Description

PT woke up on April 1, 2021 not feeling well. Went to work that afternoon. Around 3:30 pm while working PT fainted. Upon waking she had a neurological response and the left side of her body (the opposite side of her vaccine injection) was shaking uncontrollably and she could barely walk. She was taken to ER and given an IV. She was given Toradol and Ativan to relieve symptoms. The final diagnosis was an Adverse Effect of the Covid 19 vaccine. She was sent home and the uncontrollable shaking lasted 2-3 days. PT still has tremors in her right arm when at rest, holding something and even more noticeable after exertion.

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Symptoms

Chills, Syncope, Gait disturbance, Malaise, Tremor, Chest X-ray normal, Impaired work ability, Vaccination complication, Influenza A virus test, Influenza B virus test, SARS-CoV-2 test

Vaccines

VAX DATE: 03-31-2021| ONSET DATE: 04-01-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH ER2613 SYR LA

RECVDATE:10-08-2021
RPT_DATE:
CAGE_YR:17
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:Y
RECOVD:N
LAB_DATA:Medical tests and medications given on April 1, 2021 XR CHEST 1 VIEW SARS-COV-2 (COVID-19), INFLUENZA A + B, MULTIPLEX NAA Ketorolac Inj 30 mg (TORADOL) LORazepam Inj 1 mg (ATIVAN) PT is a 17 year old female who is otherwise healthy is presenting for tremors after COVID vaccine. Vitals significant for almost a fever 99.1. On exam, she is awake and oriented but she is shaking. Does not appear to be seizure and just appears to be chills and tremors. Chest x-ray is clear. COVID swabbed her. Given supportive care including Toradol and Ativan and feels better. No tremors on reassessment. Likely side effect of the vaccine. Discharged home with off work order tomorrow.
V_ADMINBY:PVT
OTHER_MEDS:nonw
CUR_ILL:nonw
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-08-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:nonw
V_FUNDBY:

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