Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Muscular weakness, Musculoskeletal disorder, Neutrophil count increased, Pallor
Clinical narrative: Patient received "J&J vaccine" (ad26.cov2.s, suspension for injection, batch number 1805022, expiry data unknown/not reported) on 09-March-2021. Right arm. On 14-April-2021 patient lost ability to stand or use legs; legs lost feeling from knees to feet; unable to stand or move them. Dropped to the floor with acute paralysis of legs, no mental confusion, visual problems.  Dragged herself with arms along floor to get to phone, call family and unlock front door for paramedics. Taken by ambulance and hospitalized 2 nights.  Blood work revealed elevated neutrophils, monocytes, eosinophils, basophils; full cardiac workup normal; CT scans no evidence; admitted for possible infectious encephalopathy. 74 yo female subject accepted Janssen Ad26.CoV2.S injection (emergency use only) lot # 1805022 in right deltoid on MAR 9, 2021 at a school gym. On APR 9, 2021 subject was observed by family member as tired, pale and slightly confused. On APR 14, 2021 while alone, standing up, subject experienced paralysis, both legs and fell to floor. Had to drag herself to telephone. Able to talk and relate what happened to family members and EMT. Subject strongly suspects cause as being the Ad26.CoV2.S injection. On arrival at emergency room, blood pressure was normal. Cardiac workup normal. CT scan normal.   Excerpts from emergency room report:  "Johnson and Johnson vaccine recently Of note, the patient does report that she has experienced in abnormal visual sensation over the past day, where she notices a floating spot in her lower field of vision, which is described as a circular red spot with circles in the middle, floating, coming and going, not present currently." and  "plan for admission in the setting of a infectious encephalopathy with profound weakness causing fall."  Blood work revealed elevated neutrophils, elevated monocytes, elevated eosinophils highly elevated basophils and high MCV, low MCHC low, high RDW. Subject given IV antibiotics and admitted by ER physician, w/notes as: possible infectious encephalopathy or metabolic encephalopathy after JnJ vaccine. On APR 15, 2021 a new doctor, a new diagnosis: UTI. Family and subject questioned UTI diagnosis. Subject has maternal aunt who died of GBS after a flu shot. Repeat blood work revealed again elevated neutrophils, elevated monocytes, elevated eosinophils highly elevated basophils and high MCV, low MCHC low, high RDW.   Family requested a report be filed to VAERS. After that, subject was yelled at nurse and blood pressure rose to 250/90, given lisinopril 10 mg/d. Neurology workup revealed Positive neurological weakness. Discharged on patient request.  Patient recalls developing a rash over her trunk and head with heat on head and unusual visual disturbances prior to the hospitalization. Discharged APR 15 2021 . At home on APR 16 2021 subject experienced intense seizure-like spasms throughout abdomen, arms and legs during sleep. For the next week, subject experiencing visual disturbances, vertigo, diarrhea, head pain. Subject very tired, pale, dark circles around eyes; unable to walk unattended without crashing into walls. Subject took zinc, vit D, and 10-15 g liposomal vitamin C/day with significant improvement.   Improvement, until on MAY 14, 2021, subject began experiencing progressive right-sided weakness, affecting right leg, right arm and right side of face yet fully conscious and able to talk. Episodic symptoms described as an attack by patient, who can "feel it as it comes on." Family member observed flaccid paralysis / flopping of limbs, inability to control where the arms and legs need to go. Attacks were lasting 5-15 minutes, repeating every 1-3 hours, ongoing 2-3 days. No facial droop and able to talk, no slurring, cannot think when attack comes on and cannot use arms. Leg tremors. On MAY 15-16 2021 subject unable to walk. Headache, face and feet swollen, loss of ability to read letters on the pages of her book, and flashes before eyes. Patient refused ambulance and hospital.  Received liopsonal vitamin C, Vit D, Vit K, zinc, quercetin, IV vitamin C and IV ozone, homeopathic remedies and ivermectin. Symptoms improved after one month.   Patient has seen her primary care physician 3x, a vascular specialist 2x, two different neurologists, a nephrologist and other physicians and nurses. OCT 15 2021 subject feeling better, but now has numbness in hands and feet that continue to come and go, and complains of residual memory problems and visual issues that began after the shot.  Although the law is that healthcare providers must report all reactions to VAERS within 60 days of the Ad26.CoV2.S injection, all providers and hospital have refused to file this report.