VAERS 2707220
GLAXOSMITHKLINE BIOLOGICALS · RSV (AREXVY) · Charge 3N3CT
- Staat
- MI
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 31.10.2023
- Impfdatum
- 11.10.2023
- Beginn
- 19.10.2023
- Tage bis Beginn
- 8,0
- Dosis
- 1
- Route/Site
- IM / LA
Symptomtext
Client was initially seen at Hospital on 10/19/23 and transferred to another Hospital. He was admitted that same day and required intubation on 10/23/23. He was then transferred to third hospital on 10/27/23 for escalation of care and Neuromuscular evaluation and EMG. Per medical records client presented at hospital emergency department as a transfer from another hospital secondary to abrupt onset of lower extremity weakness upon awakening on 10/19/2023. Patient initially reported mild drift of the lower extremity. Per Telehealth neurology, he was recommended to be seen at hospital for possible anterior spinal artery syndrome and requested MRI brain and spine. Upon arrival to hospital patient was noted to have bilateral lower extremity weakness, absent DTR?s, eventually developed dyspnea and required intubation. He was reportedly also complaining of paresthesias in the distal upper extremities. Weakness rapidly progressed and is now currently involving cranial nerves. Prior to leaving facility, patient was able to move his head and open eyes. A LP was completed on 10/27 which was ?unremarkable?: protein 61, RBC 1400, WBC normal, glucose 102. Five rounds of plasma exchange with no significant improvement. Negative for HIV, Lyme IgG and IgM, paraneoplastic panel, anti-VG CCR antibodies, and anti-ACH receptor antibodies. ?Per report MRI and spine unremarkable in facility.? A neurology consult was placed for ?ascending paralysis with concern for GBS.? Most recent neurology note from 10/30/23 states, ?suspect AIDP variant, likely AMSAN. EMG consistent with diagnosis.? Neurology note from 10/30/23 also reported, ?In bed, not on sedation chronically ill appearing. Patient is unresponsive to verbal, tactile, and noxious stimuli. Breathing synchronous with the ventilator. Pupils are equal and sluggishly reactive to light. Oculocephalic reflex absent. No gaze preference or pathologic nystagmus noted. No corneal reflexes. No facial asymmetry noted. No gag/cough reflex per RN. No spontaneous movements. No withdrawal to noxious stimuli applied to any extremities. No posturing. No tremors, myoclonus, adventitious movements noted. Tone is decreased throughout. Reflexes absent throughout. Plantar responses are mute bilaterally. Prognosis for a functional neurologic recovery is poor.? Multiple other medical conditions being monitored.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Ascending flaccid paralysis
- Hospital-Tage
- -
- Labordaten
- Please see narrative above.
- Aktuelle Erkrankungen
- No documented illnesses reported for client in medical records.
- Vorgeschichte
- Chronic medical conditions reported as hypertension, seasonal allergies, and hyperlipidemia. Client was a previous tobacco smoker and does drink 2-3 beers per day.
- Andere Medikamente
- Unknown- no documented home medications, dietary supplements, or herbal remedies in medical records. Client did report to drinking 2-3 beers per day.
- Allergien
- No known allergies to medications, food, or other products. Client does have seasonal allergies.
- Vorherige Impfungen
- -