Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Infection, Insomnia, Lichenification, Muscle spasms, Rheumatoid factor increased
Clinical narrative: TOP OF RIGHT ANKLE CRACKED OPEN; SCALY/SCALY/THICK SKIN THAT PEELS; INFECTION/GOT INFECTED; VASCULITIS OF SKIN (AFFECTED AREAS INCLUDED TUMMY, ANKLES, TOES, WHOLE LEGS, ARMS, BACK. STARTED ON TUMMY BLOTCHY, AND LITTLE ON THE BACK), MOSTLY ON  ARMS AND LEGS; BROKEN HIP; WAS NOT FOLLOWING DIRECTIONS; WAS NOT ACTING RIGHT; UNCONTROLLABLE MUSCLE MOVEMENTS; SPASMS; INABILITY TO WALK/COULD NOT WALK/HAD NOT ABLE TO WALK; HAIR LOSS/LOSING HAIR; SKIN WOULD GET LEATHERY; COULD NOT SLEEP; COULD NOT GET ATTENTION; COULD NOT SIT ON SIDE OF BED; FELL; LOST USE OF LEFT HAND AND LEFT ARM; This spontaneous report received from a consumer concerned a 64 year old male. The patient's weight was 142 pounds and height was 71 inches. The patient's past medical history included biventricular brain stem hemorrhage, itching, rash on body, head was read and scalp was peeling and concurrent conditions included blood pressure, disabled, non alcohol user and non smoker, and other pre-existing medical conditions included he was not sick (not even a sniffle) for 7 years. The patient experienced drug allergy when treated with lorazepam, cefepime and vancomycin used for unknown indication.  The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration was not reported, batch number: 202A21A, and expiry: unknown) dose was not reported, dose number in series was 1,1 total administered to right arm on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported.  On an unspecified date in JUL-2021, the patient experienced vasculitis of skin (affected areas included tummy, ankles, toes, whole legs, arms, back. Started on tummy blotchy and little on the back), mostly on arms and legs (dose number in series was 1). First it was thought that his skin condition was eczema, however, the dermatologist performed a biopsy and he was diagnosed with vasculitis of skin. On an unspecified date, the patient experienced high Rheumatoid (RH) factor and his blood test showed that the RH factor was high and was sent to a rheumatologist. The rheumatologist thought that his condition could be autoimmune but only RH factor was high (no other factor) so he concluded that the condition was not autoimmune. The vasculitis of skin would heal, he experienced that his skin would get leathery, scaly/scaly/thick skin that peels. His ankles got scalier and scalier, then top of right ankle cracked open and he experienced inability to walk/could not walk/had not able to walk. It got infected/ infection and the primary care physician treated it with oral antibiotics, but that did not help. He was not walking for a whole week or was not following directions and was not acting right before going to hospital. On an unspecified date, laboratory data included: Blood test with result was great and weight loss with result lost 15 pounds (lbs) of weight. He also experienced hair loss/losing hair. On 23-AUG-2021 he was hospitalized. On an unspecified date in AUG-2021, treatment medications (intravenous antibiotics) included: cefepime, doxycycline and vancomycin. He had a reaction to intravenous antibiotics and it was reported that he had never reacted to it before. He went through physical therapy and occupational therapy but was not bouncing back. His health started declining again and on an unspecified date in OCT-2021 he was back in the hospital for 3 weeks. He had high sodium levels (which was flushed out) so they thought that he was not getting enough water. He also experienced uncontrollable muscle movements, spasms, could not sleep, could not get attention. Then he was sent to rehab and was being fed through a feeding tube. He had to learn to walk and do everything again. He could not sit on side of bed (It was like how it was 7.5 years ago). In the rehab on an unspecified date in NOV-2021, he lost use of left hand and left arm. He was in rehab from 03-NOV-2021 to 23-NOV-2021. He got home couple days. On 12-DEC-2021, the patient fell and broken hip. On 13-DEC-2021, he went through partial hip replacement. Everything on his left side had got tighter and tighter (like it was drawn and spastic and tight). He had not been able to walk since surgery, he cannot straighten his left leg out to put his foot down. There had been set back and set back. He had visited physician's office. He was hospitalized for 8 days.  The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from infection/got infected, uncontrollable muscle movements, and hair loss/losing hair, and the outcome of vasculitis of skin (affected areas included tummy, ankles, toes, whole legs, arms, back. started on tummy blotchy, and little on the back), mostly on arms and legs, high rh factor, top of right ankle cracked open, high sodium levels, spasms, lost use of left hand and left arm, broken hip, inability to walk/could not walk/had not able to walk, skin would get leathery, scaly/scaly/thick skin that peels, could not sleep, could not get attention, could not sit on side of bed, fell, was not following directions and was not acting right was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender's Comments: V0- 20220108492-Covid-19 vaccine ad26.CoV-2.s- Vasculitis of skin (affected areas included tummy, ankles, toes, whole legs, arms, back, started on tummy blotchy, and little on the back) mostly on arms and legs, Broken hip, Top of right ankle cracked open, Scaly/scaly/thick skin that peels, Infection/got infected. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).