Adverse Event Reporting
| VAERS ID | 993002 |
|---|---|
| Gender | Female |
| Age | 41 |
| StateCode | WA |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EK5730 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-18 |
| Onset | 2020-12-20 |
| Condition | Permanent Disability |
Symptoms
- Blood test
- Photophobia
- Magnetic resonance imaging
- Vision blurred
- Full blood count
- Metabolic function test
- Scan with contrast abnormal
- Neurological examination
- Ophthalmological examination
- Antinuclear antibody
- Treponema test
- Vitamin B12
- Altered visual depth perception
- Optic neuritis
- Visual field tests
- Dyschromatopsia
- Vitamin D
- Immunology test
- Ophthalmic scan
Current Illness
no
Preexisting Conditions
intermittent mild asthma
Other Medications
Vitamin D, Vitamin C
Previous Vaccinations
frozen shoulder for months after misplaced flu vaccine in 2010
Allergies
Sulfa meds, latex, dermabond (skin glue)
Laboratory Data
12/21: eye exam, visual field test, OCT scan of eye, another scan of eye (unsure of name) 12/23: MRI 12/29: eye exam, OCT scan of eye, visual field test, other neuro checks by MD.
01/18: virtual visit to discuss possibility of MS, blood tests ordered including vitamin b12, vitamin D, syphilis (RPR) screen, Lyme test- B burdorfi antibodies by western blot w reflex, CBC, anti nuclear AB Multiple, CMP,
Write-up
12/18/20: I recieved first dose Covid vaccine, 12/20/20: developed blurry vision, diminished color, altered depth perception, light sensitivity in right eye, 12/21/20: exam by opthalmologist (Dr), 12/23/20: MRI with and without contrast: showed active inflammation on right optic nerve, optic neuritis - referred to neuro opthalmologist, 12/29/20: examined by Dr.
(neuro-opthalmologist), confirmed optic neuritis and referred to Dr.
(neurologist) for further eval of possible MS, 01/18/21: virtual meeting with Dr.
, labs ordered.
02/01/21: no treatment to date and I am still experiencing all original symptoms, though have slightly improved since initial onset.
Planned follow up with Dr.
(neurologist) this week and follow up with Dr.
(neuro-ophthalmologist) next week