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Report #2873639

Received Nov 19, 2025

HospitalizedER / ED visitOffice visit
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
10 yrs
State
—
Recovered
Recovered
Vaccinated
Nov 10, 2025
Onset
Nov 11, 2025
Days to onset
1
Hospital days
1

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA53052668IM / LA
FLUN3INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.N/AYH2674BIN / NS

Symptoms (61)

Alanine aminotransferase normalAspartate aminotransferase increasedAtaxiaBase excessBlood albumin decreasedBlood alkaline phosphatase normalBlood bilirubin normalBlood calcium normalBlood chloride normalBlood creatine phosphokinase normalBlood creatinine normalBlood glucose normalBlood lactic acid normalBlood pH normalBlood potassium normalBlood sodium normalBlood urea normalC-reactive protein increasedCSF glucose normalCSF protein normalCSF red blood cell count positiveCSF white blood cell count negativeCarbon dioxide normalCryptococcus testCytomegalovirus test negativeDizzinessDrug screen negativeElectrocardiogram normalElectroencephalogram normalEnterovirus test negativeEosinophil percentage decreasedEscherichia test negativeGram stain negativeHaematocrit normalHaemoglobin normalHaemophilus testHeadacheHerpes simplex test negativeHuman herpes virus 6 serology negativeListeria testLumbar puncture normalLymphocyte percentageMagnetic resonance imaging head normalMonocyte percentage increasedMuscular weaknessNeisseria test negativeNeutrophil percentageNystagmusPCO2 normalPO2 decreasedPlatelet count normalProcalcitonin increasedProtein total normalPyrexiaRomberg test positiveStreptococcus test negativeUrine analysis normalVaricella virus test negativeViral test negativeVomitingWhite blood cell count normal

Symptom narrative

Patient with fever 11/11, resolved with OTC medication. That evening, she experienced acute onset ataxia, dizziness, and vomiting. She was taken to ED where code stroke was activated for exam concerning for cerebellar stroke (per notes, b/l nystagmus, ataxia, mild weakness of b/l legs, + Romberg). Brain MRI, EEG, and LP were performed and all normal. CRP elevated, but other labs normal. Patient was admitted overnight for observation and seen by pediatric neurology. She was improved but still dizzy and ataxic. Weakness was resolved. Neurology suspected functional neurologic disorder and patient was discharged. Patient recovered over the next 2 days, but started having headache with sitting and standing. She went to ED 11/15 where she was thought to have Post-dural puncture headache, told to drink caffiene and more fluids. She was seen in clinic 11/18 as follow up. Ataxia resolved, HA still present but improving. No sign of leak at LP site. Patient advised to continue resting/lying down for comfort, drink caffiene and lots of fluids.

Current illness

URI with conjunctivitis 1 week prior (self-resolved)

Medical history

body dysmorphia, anxiety, migraines

Other medications

probiotics, miralax prn, rizatriptan prn, melatonin prn, hydroxyzine prn

Allergies

none

Lab data

all on 11/11/25: Brain MRI - normal, EEG - normal, LP - 3 RBC, 1 WBC, colorless, smear with 0-1 PMN and 0-1 mononuclear cells per LPF, no organisms on gram stain, glucose 74, protien 29, pcr negative for ecoli, H flu, listeria, N meningitidis, Strep agalac, Strep pneumo, cytomegalovirus, enterovirus, HSV1, HSV2, HHV 6, human parechovirus, VZV, cryptococcus. Blood - lactate 1.3, procalcitonin < 0.05, VBG 7.4/36/32/-2, WBC 6.5 (mono 12.5, neut 65, lymph 20, eos 0.6), Hgb 12.3, Hct 37, Plt 310, Na 138, K 3.6, Cl 103, CO2 25, BUN 9, Cr 0.74, Glu 139, CA 9.8, Alb 4.4, Bili 0.5, TP 7.3, AST 20, ALT 9, AP 275, CK 73, CRP 8.91, Urine tox negative, UA normal, ECG normal