VAERS ID: 1807027

AGE: 14| SEX: F|STATE: FR (Unknown)

Description

Peripheral nerve disorder NOS; Muscular weakness of limbs; Light-headed feeling; Astasia; This is a spontaneous report from a contactable physician received from the regulatory authority. Regulatory authority report number is v21128952. The patient was a 14-year and 0-month-old female. Body temperature before vaccination was 36.7 degrees Centigrade on 25Sep2021. The patient had no family history. There were no points to be considered on the vaccine screening questionnaire (primary diseases, allergies, vaccinations, and illnesses within the last one month, medications the patient was taking, past adverse effect history, growth status). On 25Sep2021 at 13:30 (the day of vaccination), the patient received the first dose of bnt162b2 (COMIRNATY, Solution for injection, Lot number FH3023, Expiration date 31Dec2021) at the age of 14-year-old, via an unspecified route of administration as a single dose for COVID-19 immunization. On 26Sep2021 at 21:00 (1 day 7 hours 30 minutes after the vaccination), the patient experienced Peripheral nerve disorder NOS, Muscular weakness of limbs. On 01Oct2021 (6 days after the vaccination), the patient was admitted to the hospital and discharged on 07Oct2021. On 07Oct2021, the outcome of the event was recovering. The course of the event was as follows: "On 26Sep2021 from night, the patient experienced Muscular weakness of both upper and lower limbs (Smartphone dropped, Light-headed feeling when walking, Astasia). After that, the symptoms worsened, and the patient went to hospital for consultation. On 01Oct2021, No abnormalities in blood test, head MRI. On 01Oct2021, for intensive investigation, the patient was introduced to this hospital. At the time of consultation, the cranial nerve system and sensory nerves were normal. The Muscular weakness was low at the level of MMT3/3, Biceps and knee tendon reflex normal. Spinal fluid check resulted in protein cells without dissociation. No decrease in nerve conduction velocity in upper and lower limbs. Judgment was Peripheral nerve disorder NOS. 2 days after hospitalization, Muscular improvement tendency. On 07Oct2021, Limbs MMT5/5, made sure it had no impact on daily life, Discharged." The outcome of events Light-headed feeling, astasia was recovering. The reporting physician classified the event as serious (hospitalization from 01Oct2021 to 07Oct2021), and the causality between the event and bnt162b2 as unassessable. There was no other possible cause of the event such as any other diseases. The reporting physician commented as follows: Only the frequency of occurrence of F wave of median nerve of both upper limbs was 30-40%, so the patient planned to revisit as outpatient.

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Symptoms

Dizziness, Neuropathy peripheral, Muscular weakness, Blood test, CSF test, Body temperature, Dysstasia, Nerve conduction studies, Investigation, Magnetic resonance imaging head

Vaccines

VAX DATE: 09-25-2021| ONSET DATE: 09-26-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FH3023

RECVDATE:10-22-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:6
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Test Date: 20211001; Test Name: blood test; Result Unstructured Data: Test Result:No abnormalities; Test Date: 20210925; Test Name: body temperature; Result Unstructured Data: Test Result:36.7 Centigrade; Comments: before vaccination; Test Date: 20211001; Test Name: Spinal fluid check; Result Unstructured Data: Test Result:protein cells without dissociation; Test Date: 20211001; Test Name: MMT; Result Unstructured Data: Test Result:3/3; Test Date: 20211007; Test Name: MMT; Result Unstructured Data: Test Result:5/5; Test Date: 20211001; Test Name: head MRI; Result Unstructured Data: Test Result:No abnormalities; Test Name: F wave of median nerve of both upper limbs; Result Unstructured Data: Test Result:30-40 %
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
PRIOR_VAX:
SPLTTYPE:JPPFIZER INC202101335287
FORM_VERS:
TODAYS_DATE:10-21-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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