National Vaccine
Information Center

Your Health. Your Family. Your Choice.
Search Results

From the 1/21/2022 release of VAERS data:

This is VAERS ID 1535217

Government Disclaimer on use of this data

Case Details

VAERS ID: 1535217 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Florida  
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

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.

New Search

Link To This Search Result:

Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166