Adverse Event Reporting
| VAERS ID | 995404 |
|---|---|
| Gender | Male |
| Age | 25 |
| StateCode | WA |
| Pharmaceutical Company | MODERNA |
| Lot Number | 032L20A |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-25 |
| Onset | 2021-01-26 |
| Condition | Permanent Disability |
Symptoms
- Headache
- SARS-CoV-2 test negative
- Full blood count normal
- Vision blurred
- Metabolic function test
- Diplopia
- Blood thyroid stimulating hormone
- Gaze palsy
- Ophthalmological examination abnormal
- VIth nerve paralysis
Current Illness
None
Preexisting Conditions
None
Other Medications
Ibuprofen, Lidocaine 5% patch
Previous Vaccinations
Allergies
None
Laboratory Data
Opthlamologist visit notes indicating abnormal exam noting L 6th nerve palsy on 1/30/21.
Notable weakness of L lateral gaze on EOM's 2/1/21.
CBC, CMP, and TSH drawn on 2/1/21 were all normal.
Rapid Abbott ID now COVID19 test also negative on 2/1/21.
Write-up
Patient awoke the morning following the vaccination experiencing double vision, difficulty focusing vision.
He presented to opthalmologist on 1/30/21 and was diagnosed with a L 6th nerve palsy.
His symptoms have persisted and are accompanied by a HA.