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Report #2845150

Received Jun 16, 2025

HospitalizedER / ED visitOffice visitDisabled
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Female
Age
53 yrs
State
KY
Recovered
Not recovered
Vaccinated
Sep 6, 2024
Onset
Dec 1, 2024
Days to onset
86
Hospital days
1

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH5LM2222IM / UN

Symptoms (36)

Anti-cyclic citrullinated peptide antibody negativeAntibody test negativeAntinuclear antibody negativeArthralgiaAspartate aminotransferase increasedAutoantibody positiveBarium swallow normalBiopsy muscle abnormalBlood creatine phosphokinase increasedBlood lactate dehydrogenase increasedBlood magnesium normalBlood phosphorus normalBlood uric acid decreasedBorrelia test negativeC-reactive protein normalDysphagiaElectromyogram abnormalFatigueFull blood countHIV test negativeHepatitis viral test negativeMagnetic resonance imaging abnormalMetabolic function testMonocyte percentage increasedMuscle atrophyMuscular weaknessMyalgiaMyopathyMyositisRed blood cell sedimentation rate normalRegurgitationRheumatoid factor negativeSerum ferritin increasedThyroid function test normalVitamin D decreasedWhite blood cell count decreased

Symptom narrative

Development of fatigue, joint pain, muscle pain, and muscle weakness as well as dysphagia. Rated her pain a 3-4 out of 10 on average. This was very atypical for her. Developed dysphagia and regurgitation

Current illness

None

Medical history

Migraine without aura

Other medications

Daily multivitamin

Allergies

None

Lab data

Labs on 12/31/2024: Vitamin D 29, negative rheumatoid factor, CRP 0.45 anti-CCP negative ANA negative Lyme antibody negative every Kalosis antibody negative HIV negative uric acid 2.1, ferritin 500, hepatitis panel negative, ESR 20, magnesium normal, CK 1529, CMP with AST 105 otherwise within normal limits, CBC with WBC 3.1, percent monocytes 11.9 all others within normal limits. Labs obtained on 1/3/2025 with CK 1061, LDH 399, normal thyroid testing, normal phosphatase and magnesium, uric acid 1.8, AST 85. Labs on 1/9/2025: AST 68, CK8 115, myositis panel with NXP 2 antibodies elevated at 128. MRI of left lower leg on 1/1/2025 with acute nonspecific myositis consistent with history of rhabdo myelitis. EMG 1/13/2025 with severe myopathic EMG findings in proximal greater than distal muscles of the right upper extremity and right lower extremity consistent with myositis left quadricep biopsy on 1/31/2025 with mild type II myofiber atrophy and focal fiber type grouping consistent with reinnervation. Barium swallow study on 2/11/2025 essentially normal