Adverse Event Reporting

VAERS ID 961179
Gender Female
Age 82
StateCode TX
Pharmaceutical Company MODERNA
Lot Number
Number of vaccinations 1
Vaccinated 2021-01-05
Onset 2021-01-12
Condition Hospitalized Permanent Disability
Symptoms
  • Confusional state
  • Seizure like phenomena
  • Gait inability
  • Dysarthria
  • Urinary tract infection
  • Dysstasia
  • Muscle spasms
  • Muscular weakness
  • Blepharospasm
  • Aphasia
  • Inflammation

Current Illness

none

Preexisting Conditions

stroke from 18 months prior

Other Medications

Metropolol Keppra low dose to prevent seizures from prior stroke (hemorhagic)

Previous Vaccinations

Allergies

none

Laboratory Data

Write-up

Seizure like episode on 1/12/21, one week after vaccine, last 1.
5 hours, consisting of both eyes twitching and clenching/spasm of right hand and arm.
EMS called.
BP normal.
Continuing weakness of right arm and right leg, which was side weakened by stroke.
Could no longer stand or walk on right leg.
Some slurring of speech.
Some confusion.
Went to hospital 1/14.
No evidence of stroke or current seizure.
Considered problem to be mild UTI, started antiobiotics, rapid improvement.
Discharged 1/17.
Woke up 1/18 with aphasia.
Went to urgent care, sent immediately to hospital.
Doctors found no evidence of stroke or seizure.
Consider problem to be due to inflammation, caused by mild UTI (which was cleared by antibiotics) or perhaps due to inflammation caused by Covid vaccination.
The inflammation reinitiated the symptoms of her stroke, although she never had expressive aphasia prior to this, only word-finding problems, which had been resolved.