Received Sep 11, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (HEPLISAV-B) | DYNAVAX TECHNOLOGIES CORPORATION | 1 | 946907 | IM / LA |
When symptoms initially reported to the employee Health nurse on 8/14/2025, symptoms were not ruled to be a vaccine reaction due to extenuating circumstances that included: working out at the gym and working a 12-hour hospital shift the day before the vaccine was administered. During this assessment the said individual described " left arm soreness and numbness in left fingertips and left toes. EE then stated "left fingers and toes feel 'cold' but aren't." Phone assessment completed with EE: EE denies tingling sensation, loss of mobility, loss of strength, or loss of balance in left limbs. Denies HA, blurred vision, facial droop, or speech difficulty. Denies pain except for "sore area" to left deltoid region, stating "can't find exact spot of injection, but have a sore spot approximately 4 finger-widths down from top of humerus." In asking if there is any radiation of numbness, EE reports "left finger numbness starts below my elbow all around arm and radiates to fingers. All of my left leg has numbness with my toes worse, and have numbness in my trunk, but left-side only." Discussed recent activity of EE including any possible insult to neck or spinal column -- EE reports worked 8/10/25 at an ICU shift, noticed first symptoms "later Monday (8/11/25) after the vaccine. Noticed them before gym workout but worked out anyway." EE denies any incident or injury at ICU shift or at gym. Result: Discussed reported symptoms are unusual as a vaccine reaction and suggested that EE consider PCP evaluation for concerns of left-sided numbness and if PCP feels symptoms could be from a vaccine reaction, then we can file incident report and VAERS at that time. EE states she will plan to see her PCP. On 9/8/2025 the said individual reported "I wanted to let you know that I have a follow up appointment today about the vaccination I received and the symptoms I'm having". Patient stated, 'It's the only thing I can think of but after getting the vaccine I started having symptoms of numbness from my arm down to my foot, like the day afterwards, 8/12/2025'. In addition, patient stated, "I talked to someone from clinic about the symptoms, but I don't remember who". She further stated, "the thing is, the numbness is intermittent and finally on 8/22/2025 (I think), I went to the ER because I was afraid, I was having a stroke. My head felt numb, I kept looking at my face for drooping, they did a CT scan, and everything came back okay". "I also contacted the HEPLISAV-B company after reading up on the immunization and they indicated they were going to submit a vaccine reaction report, but I haven't heard back from them". "I thought maybe I was having a Gillian Barre event". Patient describes the symptoms as intermittent, on the left side of her body from her head to foot; head, face, arm, torso, hip, buttocks, leg and foot". She stated, "it comes and goes". Patient further stated, "for example, if I'm driving and lean my head back a little bit, it feels like there is a bump in the back of my head but when you feel for a bump, there is no bump, and my face is not numb". She further stated, "if I'm not immune, I'm afraid I won't have another vaccine, I'm too afraid because of what has happened, and I associate the symptoms from when I had the shot".
Unknown
Migraines - controlled with OTC medications and therapeutic treatments.
Unknown
None known
8/22/2025: Said individual reported being seen in the ED to rule out a stroke. She stated, "they did a CT scan and it was okay, no stroke".