VAERS ID: 1821999

AGE: 16| SEX: M|STATE: TX (United States)

Description

* (Principal) Generalized weakness, extreme fatigue andmuscle pain Leg pain, bilateral Bilateral arm pain Pain and weakness in lower back, upper and lower extremities only. Pain and weakness appears to start at the shoulders and progress down to wrist with less hand involvement bilaterally Patient he received his first COVID vaccine just prior to symptoms onset. His symptoms worsened in early September after receiving his second dose Post-vaccine polyneuritis

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Symptoms

Arthralgia, Myalgia, Back pain, Asthenia, Condition aggravated, Fatigue, Muscular weakness, Pain in extremity, Lumbar puncture, Polyneuropathy, Immunoglobulin therapy, Nerve conduction studies abnormal, CSF culture, CSF protein normal, CSF oligoclonal band, Magnetic resonance imaging abnormal

Vaccines

VAX DATE: 08-06-2021| ONSET DATE: 08-01-2021| DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0168 IM LA

RECVDATE:10-27-2021
RPT_DATE:
CAGE_YR:16
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:7
X_STAY:U
DISABLE:Y
RECOVD:U
LAB_DATA:Nerve conduction study conducted 10/7/21, which was abnormal. Patient had a sedated MRI spectroscopy and LP on 10/8 which was reassuring against infection, normal protein levels, oligoclonal bands pending, culture pending. MRI spectroscopy obtained abnormal Patient started on IVIG per neurology and received 3 days of infusions with significant improvement. Patient will follow-up with Neurology in clinic.
V_ADMINBY:PVT
OTHER_MEDS:Tylenol
CUR_ILL:
HISTORY:Cerebral Palsy
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-27-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Amitriptyline Hydroxyzine Hcl
V_FUNDBY:

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