National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1371923

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371923
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood bilirubin normal, Chromaturia, Fibrin D dimer increased, Full blood count normal, Gait disturbance, Blood urine present, Musculoskeletal pain, Myalgia, Myositis, Pain in extremity, Rhabdomyolysis, Protein urine present, Myoglobin blood present, Renal function test normal, Respiratory syncytial virus test negative, Influenza A virus test negative, Troponin normal, Influenza B virus test, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: nil
Current Illness: nil
Preexisting Conditions: nil
Allergies: nil
Diagnostic Lab Data: bloods: CBC, clotting and renal chemistry and troponin within normal limits 2 jun and 3rd Jun 2021 d-dimer and myoglobin positive (qualitative tests only available) 2 Jun 2021 liver biochem - ALT 81, AST 279 U/l on 2 Jun, and ALT 357, AST 1368 U/l on 3 Jun 2021. Bilirubin etc normal. urine: dark red/brown colour. Positive dip for blood and protein 2 and 3rd Jun 2021 viral: PCR negative for SARS-CoV2, Influenza A&B and RSV negative 2 jun 2021
CDC 'Split Type':

Write-up: initially no symptoms until on day 8 after vaccine (1 Jun 2021), rapid onset progressive severe muscular pains in calves, thighs, buttocks and then upper arms. Within 24 hours unable to walk easily. No other symptoms and no physical signs of infection. Urine became dark brown at 24 hours and clinically has myositis with suspected rhabdomyolysis - was admitted for iv fluids and analgesia and is improving clinically but gait still disturbed. No demonstrable weakness and no neuro deficit or symptoms. no other obvious cause for acute myositis so consider ?vaccine related.

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166