Report #2831942

Received Mar 18, 2025

Hospitalized

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Overview

Sex: Male
Age: 86 yrs
State: FL
Recovered: Not recovered
Vaccinated: Oct 23, 2024
Onset: Nov 3, 2024
Days to onset: 11
Hospital days: 55

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	LN0588	IM / LA

Symptoms (5)

Gait disturbanceHypoaesthesiaMuscular weaknessNervous system disorderParaesthesia

Symptom narrative

Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Weakness-Medium, Additional Details: Guillain-Barré syndrome (severe muscle weakness) was observed after vaccination. Patient reported still having a lot of weakness and still needs assistance walking., Other Vaccines: VaccineTypeBrand: FLUZONE HIGH-DOSE TRI-VALENT; Manufacturer: SANOFI; LotNumber: UT8419BA; Route: INTRAMUSCULAR; BodySite: LEFT ARM; Dose: 1; VaxDate: 10/23/2024