Adverse Event Reporting
| VAERS ID | 2504242 |
|---|---|
| Gender | Male |
| Age | 62 |
| StateCode | |
| Pharmaceutical Company | MODERNA |
| Lot Number | 032B21A |
| Number of vaccinations | 2 |
| Vaccinated | 2021-05-14 |
| Onset | 2021-05-25 |
| Condition | Hospitalized Life Threatening Permanent Disability |
Symptoms
- Hypoaesthesia
- Paraesthesia
- Diarrhoea
- Intensive care
- Asthenia
- Dysphagia
- Back pain
- Muscular weakness
- Abdominal distension
- Endotracheal intubation
- Anal incontinence
- Mechanical ventilation
- Immunoglobulin therapy
- Urinary incontinence
- Magnetic resonance imaging spinal abnormal
- Gastrostomy
- Guillain-Barre syndrome
- Respiratory disorder
- Vertebral foraminal stenosis
- Ileus
- Enteral nutrition
- Nothing by mouth order
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Narrative: 60-year old male with PMHx significant for back pain, admitted on 5/26/2021 for complaint of progressive weakness and numbness along his entire body.
Per documentation, he had his second COVID-19 vaccine on 05/14.
Two days later, he started having watery explosive diarrhea.
One week later, he started having numbness, tingling, bowel and bladder incontinence.
A gradually progressed to his hands and torso.
The day before admission on 05/26, he had difficulty swallowing.
Speech consult determined that he should be NPO with NG tube feedings.
He had been to the ED multiple times before admission which did MRI of his back that showed right neural foraminal stenosis at L5/S1.
He was transferred to different facility after receiving steroids for back pain.
Patient was admitted on medical service in ICU.
He was closely monitored due to worsening of respiratory status and muscle weakness patient was intubated.
Neurology was also consulted.
Patient was treated with 5 days course of IVIG.
Did not require plasmapheresis.
Patient also required PEG tube placement.
After starting the tube feeding he also developed abdominal distension and ileus.
Therefore PEG tube is on hold.
Seen by general surgery and recommended good bowel bowel regimen.
Patient was clinically treated for Guillain-Barre syndrome per neurology recommendations.
Lumbar puncture was not done because of his body habitus was not safe to do LP.
I discussed with Neurology today.
And recommended to have outpatient follow-up with Neurology.
He will be discharged to long-term rehab while remaining on ventilator.