Received Jun 4, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 2 | 038A21A | SYR / AR |
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 2 | 002C21A | SYR / AR |
Following receipt of Moderna COVID-19 vaccine Dose 2 on April 26, 2021, I developed progressive bilateral neuropathy beginning January 2022 ? 8 months post-vaccination. Symptoms include chronic burning pain, numbness and tingling in both legs, feet, hands, fingers, lips, and perineal area. I presented to the ER on April 1, 2022 with chest pressure and difficulty breathing. I was subsequently diagnosed with Small Fiber Neuropathy and Monoclonal Gammopathy of Undetermined Significance ? IgG Kappa. EMG studies in April 2022 confirmed bilateral absent sural and peroneal sensory responses. October 2025 EMG confirmed progression with new upper extrem
No
Pre-diabetic and High blood pressure
Lisinopril
superficial peroneal sensory responses ? abnormal. August 2022 ? SPEP: M-spike 0.17 g/dL ? MGUS detected. December 2022 ? Bone marrow biopsy: 3% plasma cells kappa predominant. January 2023 ? FISH panel: incomplete due to insufficient CD138+ cells. October 2025 ? EMG: progression confirmed ? new upper extremity sensory involvement. April 2026 ? SPEP: M-spike 0.31 g/dL, Gamma 2.08 g/dL, Total Protein 8.1 g/dL ? all elevated. April 2026 ? Free Light Chain Kappa: 5.54 mg/dL ? nearly 3x normal. Kappa/Lambda ratio approximately 3.6 ? abnormal. June 2026 ? Bone marrow biopsy SP26-026203: kappa-restricted plasma cells 2-3%, CD56 positive, Cyclin D1 positive ? confirmed plasma cell neoplasm. June 2026 ? Flow cytometry FC26-3014: 0.19% plasma cells ? flow cytometry underestimated burden per pathologist note.