| VAERS ID: |
1632208 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: |
2021-02-05 |
| Onset: |
2021-02-10 |
| Days after vaccination: |
5 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-08-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
E18982 / 2 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Alanine aminotransferase increased, Alopecia, Amenorrhoea, Arthralgia, Aspartate aminotransferase increased, Blood cholesterol increased, Blood creatinine increased, Blood thyroid stimulating hormone increased, Blood triglycerides increased, Carditis, Condition aggravated, Epstein-Barr virus infection, Fatigue, Feeling abnormal, Glycosylated haemoglobin increased, Hepatitis, Hypothyroidism, Inflammation, Jaundice, Lipids increased, Muscular weakness, Myalgia, Scleral discolouration, Temperature intolerance, Thyroiditis, Urinary tract inflammation
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Hepatitis, non-infectious (narrow), Acute pancreatitis (broad), Dyslipidaemia (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Hypothyroidism (narrow), Hyperthyroidism (broad), Lipodystrophy (broad), Scleral disorders (narrow), Fertility disorders (broad), Chronic kidney disease (broad), Arthritis (broad), Tumour lysis syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), Noninfectious myocarditis/pericarditis (narrow) Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Iron and vitamin C, prenatal vitamin
Current Illness: None
Preexisting Conditions: Asthma Epstein barr
Allergies: No allergies
Diagnostic Lab Data: All labs within that calendar year were previously NORMAL until after 2nd dose of vaccine TSH previously 1.8 ?$g69.8 AST/ALT greater than 60 both values Elevated creatinine Elevated HgA1C Elevated lipid panel Triglycerides over 300 Total cholesterol over 400
CDC Split Type: Write-up: Severe hypothyroidism TSH of 69.8, recurrence of Epstein barr, severe multi system inflammation including kidney, liver, heart and thyroid as well as hands as evidenced by extreme labwork changes. Previously within that year all labwork was completely normal. No menstrual cycle for 4 months Extreme cold sensitivity Hair loss Jaundice scalera Extreme fatigue Joint pain Muscle pain and weakness ?Brain fog? Symptoms persisted 4 months plus and still have not completely resolved even with medication |
