Adverse Event Reporting
| VAERS ID | 985773 |
|---|---|
| Gender | Female |
| Age | 83 |
| StateCode | MN |
| Pharmaceutical Company | MODERNA |
| Lot Number | 028L20A |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-15 |
| Onset | 2021-01-17 |
| Condition | Hospitalized Permanent Disability |
Symptoms
- Fall
- Gait inability
- Immunoglobulin therapy
- Magnetic resonance imaging abnormal
- Guillain-Barre syndrome
- Lumbar puncture abnormal
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
PCN, caffeine
Laboratory Data
Write-up
Resident was hospitalized on 1/17 after having multiple falls and change in condition.
Resident returned to facility on 1/20- continued to be unable to ambulate as previous baseline.
Son brought resident back to Hospital on 1/21 for further testing.
Resident now being treated for Guillan Barre after having lumbar puncture and MRI.
She has received IV IG treatments.
Resident remains hospitalized.