|
| VAERS ID: |
930341 (history) |
| Form: |
Version 2.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-17 |
| Onset: | 2021-01-04 |
| Days after vaccination: | 18 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Asthenia,
Blood thyroid stimulating hormone,
Chest X-ray,
Computerised tomogram thorax,
Dyspnoea,
Electrocardiogram,
Fatigue,
Fibrin D dimer,
Full blood count,
Guillain-Barre syndrome,
Metabolic function test,
Palpitations,
Tachycardia,
Ventricular extrasystoles SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Cardiomyopathy (broad), Demyelination (narrow), Dehydration (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Other Medications: Pantoprazole, Klonopin, Wellbutrin, Humira Current Illness: none Preexisting Conditions: Ankylosing Spondylitis, Asthma, GERD, peptic ulcer disease, chronic gastritis, anxiety and depression Allergies: none Diagnostic Lab Data: 1/7 in ER: CT angiogram, Chest x-ray, CBC, CMP, thyroid panel, D-Dimer. CDC Split Type:
Write-up: Heart palpitations, tachycardia, PVCs and shortness of breath, fatigue, weakness started on Monday (1/4), worsened over next 2 days. Saw primary doctor on 1/7 who called paramedics to take me to the ER due to EKG results and increased work of breathing. ER doctor suspects mild guillain-barre reaction, I will be following up with cardiology and pulmonology as soon as possible as they were unable to determine exact cause or fix the issues. |
|
| VAERS ID: |
930777 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-31 |
| Days after vaccination: | 8 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Areflexia,
Guillain-Barre syndrome,
Laboratory test,
Magnetic resonance imaging,
Sensory loss SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Other Medications: n/a Current Illness: n/a Preexisting Conditions: n/a Allergies: n/a Diagnostic Lab Data: labs, MRI CDC Split Type:
Write-up: Patient presented to the emergency department with sensory loss and loss of reflexes, evaluated by neurology and diagnosed with Guillain- Barre Syndrome thought to be secondary to the Pfizer Covid Vaccine |
|
| VAERS ID: |
946167 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Male |
| Location: |
Unknown |
| Vaccinated: | 2021-01-09 |
| Onset: | 2021-01-12 |
| Days after vaccination: | 3 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-15 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Unknown Purchased by: ? Symptoms: Burning sensation,
Guillain-Barre syndrome SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: 2nd vaccine on Saturday. Sunday, burning feet, leg, thigh. Went to ER to check if it was cause by diabetes, was told its probably not Gulliam Barre. Still having the symptoms. Worsen when laying down, better with movement. |
|
| VAERS ID: |
956709 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2021-01-08 |
| Onset: | 2021-01-15 |
| Days after vaccination: | 7 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL 1283 / 1 |
LA / IM |
Administered by: Military Purchased by: ? Symptoms: Guillain-Barre syndrome,
Intensive care,
Plasmapheresis SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
Extended hospital stay? No
Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: Patient developed symptoms of Guillain-Barre syndrome on January 15, 2021 and was admitted the Hospital. She was diagnosed and eventually required ICU level care and has been treated with plasmapheresis. She is currently still in the ICU but is stable. |
|
| VAERS ID: |
962567 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Oregon |
| Vaccinated: | 2020-12-28 |
| Onset: | 2021-01-18 |
| Days after vaccination: | 21 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK9231 / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Guillain-Barre syndrome,
Neuropathy peripheral SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
Extended hospital stay? No
Previous Vaccinations: Other Medications: Unknown. Hospitalist overseeing inpatient care Current Illness: Unknown. Preexisting Conditions: Hypothyroidism. Contact Doctor for more information on past medical history. Allergies: Tetracycline Diagnostic Lab Data: Unknown, please contact Doctor CDC Split Type:
Write-up: Employee received first dose of Pfizer-BioNTech Covid-19 Vaccine on 12/28/20. Per Employee''s manager: Patient began experiencing symptoms of neuropathy and was admitted to the hospital as an inpatient on 1/18/21. Informed from neurologist that most likely Guillain-Barr? syndrome resulted from vaccine and instructed to not receive 2nd dose of vaccine at this time. |
|
| VAERS ID: |
966195 (history) |
| Form: |
Version 2.0 |
| Age: |
21.0 |
| Sex: |
Male |
| Location: |
Virginia |
| Vaccinated: | 2020-12-21 |
| Onset: | 2021-01-18 |
| Days after vaccination: | 28 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Private Purchased by: ? Symptoms: Acute motor-sensory axonal neuropathy,
Electromyogram abnormal,
Gait inability,
Guillain-Barre syndrome,
Intervertebral disc degeneration,
Intervertebral disc protrusion,
Lumbar spinal stenosis,
Magnetic resonance imaging spinal abnormal,
Muscular weakness,
Sensory disturbance SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: History of neonatal stroke with VP shunt (valve replaced 2020) Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: Patient admitted to hospital for progressive bilateral lower extremity weakness, sensory changes and inability to ambulate. Neuroimaging with significant degenerative disc disease with disc protrusions throughout the lumbar spine, greatest L3-L4, and with severe central stenosis. Question of radiculopathy vs peripheral neuropathy at admission, but no acute findings such as cauda equina syndrome. EMG consistent with atypical variant of GBS--acute motor sensory axonal neuropathy. |
|
| VAERS ID: |
966435 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Male |
| Location: |
Minnesota |
| Vaccinated: | 2021-01-09 |
| Onset: | 2021-01-11 |
| Days after vaccination: | 2 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK4176 / 2 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Guillain-Barre syndrome,
Hypoaesthesia,
Lumbar puncture,
Paraesthesia SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: Lumbar puncture 1/21/21. CDC Split Type:
Write-up: Reports he has been diagnosed with Guillain Barre syndrome. Symptoms started with 2 fingers tingling 1/11/21. Progressively increasing in severity. Now has numb fingers and toes. Initiating IV therapy 1/22/21. |
|
| VAERS ID: |
966828 (history) |
| Form: |
Version 2.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2021-01-16 |
| Onset: | 2021-01-20 |
| Days after vaccination: | 4 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 2 |
LA / IM |
Administered by: Work Purchased by: ? Symptoms: Acute motor-sensory axonal neuropathy,
Electromyogram normal,
Guillain-Barre syndrome SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: trazodone qhs prn Current Illness: none Preexisting Conditions: none Allergies: nkda Diagnostic Lab Data: EMG - normal - but expected to be so early on CDC Split Type:
Write-up: Acute sensory-motor neuropathy symptoms. Appears consistent with a mild Gullian Barre Syndrome |
|
| VAERS ID: |
967967 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Male |
| Location: |
Minnesota |
| Vaccinated: | 2021-01-09 |
| Onset: | 2021-01-11 |
| Days after vaccination: | 2 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK4176 / 2 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Blood calcium,
Blood folate,
Blood glucose,
Blood immunoglobulin A,
Blood magnesium,
Blood thyroid stimulating hormone,
Burning sensation,
Electrophoresis protein,
Full blood count,
Glycosylated haemoglobin,
Guillain-Barre syndrome,
Hyperaesthesia,
Liver function test,
Lumbar puncture,
Metabolic function test,
Paraesthesia,
Vitamin B12,
Vitamin D SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Symbicort inhaler , vitamin D 1000 IU tablets Current Illness: None Preexisting Conditions: Asthma Vit D deficiency Allergies: None Diagnostic Lab Data: Hemogram, chem 8, LFT, magnesium level , TSH, folic acid , vitamin B12, vit D, HbA1c , glucose level on 1/18/2021 Folic acid, SPEP, IgA level, Lumbar puncture on 1/22/2021 CDC Split Type:
Write-up: Progressive Burning of fingers and toes followed by worsening tingling and hyperasthesia . Notable Symptoms started 48 hrs post second dose of covid 19 vaccination , worsened over the next 7-10 days. Basic metabolic lab work done. Seen by neurology on 1/21/2021. Started on IV therapy on 1/22/2021. Ongoing transfusion treatment in an outpatient setting |
|
| VAERS ID: |
970714 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2021-01-09 |
| Onset: | 2021-01-14 |
| Days after vaccination: | 5 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 2 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Blood test abnormal,
Burning sensation,
Guillain-Barre syndrome,
Hypoaesthesia,
Lumbar puncture abnormal,
Magnetic resonance imaging abnormal,
Pain in extremity,
Paraesthesia SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
Extended hospital stay? No
Previous Vaccinations: Other Medications: Gabapentin, Lomictal, Clonipin, Protonix, Vraylar, Seroquel, Metoprolol, Hydralazine. Current Illness: None. Preexisting Conditions: Bipolar disorder, reflux, asthma, high blood pressure. Allergies: Hydrochlorathiazide, clindomycin, Sulfa, Tegratol, IV contrast, Chlorahexidine. Diagnostic Lab Data: MRI, lumbar puncture and blood work done. Diagnosed with Guillian Barre. CDC Split Type:
Write-up: On 1/15/21, I had numbness and tingling, pain and burning in extremities. Went to the ER, had MRI, had lumbar puncture, symptoms assessed, blood work and diagnosed with Guillian Barre. |
|