VAERS ID: 2327617

AGE: 73| SEX: F|STATE: IA

Description

Developed polyarthritis and peripheral neuropathy symptoms within a month after her vaccinations. Developed myasthenia gravis symptoms this past week.

Symptoms

Antinuclear antibody positive, Laboratory test, Myasthenia gravis, Neuropathy peripheral, Polyarthritis

Vaccines

VAX DATE: 02-11-2021| ONSET DATE: 06-01-2021| DAYS TO ONSET: 110
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EM9810 IM Unknown

RECVDATE:06-22-2022
RPT_DATE:
CAGE_YR:73
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:+ANA 1:80 on March 14 2022. AVISE CTD lab pending.
V_ADMINBY:PVT
OTHER_MEDS:atrovastatin 40 mg/d, Cardizem CD 120mg/d, Lunesta 3mg HS, famotidine 40mg/d and lamotrigine 100mg/d
CUR_ILL:
HISTORY:Hyperlipidemia, hypertension and GERD
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:06-22-2022
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:None
V_FUNDBY:

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