Adverse Event Reporting

VAERS ID 931224
Gender Female
Age 39
StateCode TX
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EJ1686
Number of vaccinations 2
Vaccinated 2021-01-04
Onset 2021-01-05
Condition Hospitalized Permanent Disability
  • Fatigue
  • Headache
  • Asthenia
  • Vomiting
  • Somnolence
  • Syncope
  • Muscular weakness
  • Full blood count normal
  • Metabolic function test normal
  • Gait disturbance
  • Computerised tomogram head normal
  • Speech disorder
  • Computerised tomogram head
  • Lumbar puncture normal
  • Blood thyroid stimulating hormone normal
  • Spinal X-ray normal
  • Vitamin B12 decreased
  • CSF protein normal
  • CSF cell count normal
  • CSF culture
  • Hyporeflexia

Current Illness


Preexisting Conditions

Hypothyroidism, ADHD

Other Medications

Levothyroxine 200 mcg, Vyvanse 60 mg

Previous Vaccinations



Laboratory Data

1/6/21 Normal BMP, CBC, normal TSH, low B12 Lumbar Puncture: normal cell count and protein, culture pending Cervical Spine xray: Normal CT brain (noncontrast): normal


Pt experienced extreme fatigue and sleepiness the day following her second vaccination for Covid 19 and was found by her family after collapsing on 1/6/21 at 05:30.
Upon arousal, she experienced headache, vomiting, weakness, difficulty speaking and difficulty walking with lower extremity weakness.
She was taken to urgent care and subsequently admitted for evaluation at hospital and found to have a normal chemistry, blood count, normal lumbar puncture and normal imaging of her neck and brain.
Discharge summary notes 3/5 strength and hyporeflexia throughout.
Pt had televisit consult with psychiatry and neurology.
She is subsequently to be discharged to a Facility without explanation for her sudden onset of progressive lower extremity and vocal weakness.
She is noted to have a history of shellfish allergy.
She experienced mild symptoms after the first vaccination, but no neurologic or vascular symptoms at that time.