Adverse Event Reporting

VAERS ID 1430442
Gender Unknown
Age
StateCode CA
Pharmaceutical Company JANSSEN
Lot Number 204A21A
Number of vaccinations 1
Vaccinated
Onset
Condition Hospitalized Life Threatening Permanent Disability
Symptoms
  • Intensive care
  • Dysphagia
  • Laboratory test
  • Muscular weakness
  • Computerised tomogram
  • Magnetic resonance imaging
  • Loss of personal independence in daily activities
  • X-ray
  • Blood potassium increased
  • Endotracheal intubation
  • Mechanical ventilation
  • Haemodialysis
  • Hyperkalaemia
  • Hypotonia
  • Respiratory failure
  • Blood creatine phosphokinase increased
  • Renal failure
  • Diplegia
  • Rhabdomyolysis
  • Muscle injury
  • Myoglobin blood increased
  • Medical induction of coma
  • Anuria
  • Tracheostomy

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Extensive imaging including multiple MRIs, CTs, and numerous X-rays.
Extensive laboratory tests during 26 day hospital course.
Chart available upon request.

Write-up

Severe rhabdomyolysis with peak CK ~750,000, myoglobin >5000.
Severe life-threatening hyperkalemia, K up to ~7.
5.
Renal failure including ~2+ weeks anuria, still on hemodialysis 5 weeks post onset with uncertain prognosis.
Respiratory (muscle) failure, on ventilator for ~18 days with endotracheal tube, followed by tracheostomy ~1 week.
Hospitalized for 26 days including 19 days in Intensive Care Unit, ~11 days in medically induced coma.
Loss of swallowing function requiring retraining.
Profound diffuse muscle damage and weakness, ~20 lb.
loss of muscle mass, initially unable to move arms, legs or support head.
Will require extensive physical therapy to achieve ability to care for self and function somewhat independently.