| VAERS ID: |
1535217 (history) |
| Form: |
Version 2.0 |
| Age: |
64.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2021-04-25 |
| Onset: | 2021-05-06 |
| Days after vaccination: | 11 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-08-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EW0172 / 2 |
UN / SYR |
Administered by: School Purchased by: ? Symptoms: Condition aggravated,
Confusional state,
Creutzfeldt-Jakob disease,
Death,
Extrapyramidal disorder,
Feeling abnormal,
Headache,
Locked-in syndrome,
Lumbar puncture abnormal,
Memory impairment,
Motor dysfunction,
Myoclonus,
Pyramidal tract syndrome,
Speech disorder SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (narrow), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (broad), Opportunistic infections (broad)
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died: 0000-00-00
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations: Other Medications: Current Illness: none Preexisting Conditions: none Allergies: none Diagnostic Lab Data: Lumbar pucture, 07/12/2021 result, CJD. CDC Split Type:
Write-up: After 2nd dose of Pfizer 4/25/21, by 5/6/2021 complaining of severe headache and showing major symptons of something neurologically wrong- extreme memory fog, confusion, headache.Was hospitalized on 5/31 for about 10 days after a 911 call complaining of a headche. Released in a worsened state. Spent 10 days at home, regressing daily. On 06/19/2021 hospitalized again, doing tests eliminating possibilities.Rapidly regressing, unable to speak full sentences, Myoclonus, loss of motor skills, Pyramidal & extrapyramidal symptoms as well as akinetic mutism. After 3 weeks undiagnosed, on 07/12/2021 LP results confirmed positive for CJD. Was released to hospice on 07/19/2021 and death on 07/22/21. |