Sex: M
Vaccine: COVID19
Symptoms: Babesiosis, Bite, COVID-19, Chorea, Epstein-Barr virus infection
Clinical narrative: POSSIBLE  BABESIA; POSSIBLE EPSTEIN-BARR; POSSIBLE POST-COVID INFLAMMATORY CHOREA; POSSIBLE CHRONIC INFLAMMATORY POLYNEUROPATHY; POSSIBLE SMALL FIBER NEUROPATHY; POSSIBLE CERVICAL DYSTONIA; SORE (PERHAPS A BITE) IN PATIENT LEFT LEG; POSSIBLE CHRONIC LYMES DISEASE; COVID DIAGNOSIS WITH SYMPTOMS; This spontaneous report received from an adult male patient via social media reporting on self. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number was not reported) dose was not reported (dose number series 1), administered in APR-2021 for covid-19 prophylaxis. Batch number was not reported and has been requested. No concomitant medications were reported. In April 2021 patient received JNJ Covid Vax. In June 2021, some type of "sore" (perhaps a bite) appeared in patient left leg. Patient still had a very noticeable mark/scar from it. In August 2021, Covid diagnosis with symptoms. Recovered fine at home. In March of 2022, Sudden onset of moderate to severe vertigo. Patient was treated by our primary care physician (PCP) and was assessed by an ENT. No significant findings. Symptoms lasted a few months. In June 2022, patient had involuntary eyebrow movements, looking like he was scrunching his forehead, required a lot of computer work. Patient visited the eye doctor to have his prescription adjusted. Minimal change noted. In January 2023, patient had flu like symptoms/might be covid again. Didn't test - sick was sick. Symptoms hung around for a good month. Patient just didn't seem like he could get over it. Patient functioned with work and everyday activities but had constant congestion/fatigue/aches/ constant sore throat and pains. In February 2023, patient woke up with neck stiffness, neck muscle spasms (cervical dystonia), involuntary mouth movements and slurred speech, head pain, cognitive difficulties, and extreme fatigue. Patient had his life completely turned upside down since February - dealing with a myriad of symptoms that had yet to find a diagnosis and/or treatment to help him. These symptoms had caused patient to be out of work and had greatly impacted his entire family dynamic. Every day presented challenges, whether it was fatigue, uncontrollable neck spasms, slurred speech, etc.., not to mention the mental side effects of being in this state for so long, without any hope of improving. Most days, patient pushed through and does the best patient could. Some days, the best patient could do was be on the couch resting due to the extreme fatigue caused by all the spasms. Patient had been in a brain fog for months. Patient loves his music. If patient was in the car, he would sing. Patient could not sing to the music anymore because patient could not recall the words fast enough, this was a big problem. 75 percent of the day patient neck/face were spasming. As a result, it was difficult for patient to focus and engage in any lengthy conversations. Patient had seen a local neurologist, eye doctor, 3 neurologists, ENT, 2 infectious disease doctors, functional medicine doctor, endocrinologist, urologist, and cardiologist. Patient had received a variety of diagnoses (which we really don't know what's accurate because treatments were not really working). Diagnoses include: - Possible Cervical dystonia -Possible Chronic Lyme disease -Possible Babesia -Possible Epstein Barr -Possible Post covid inflammatory chorea -Possible Chronic inflammatory polyneuropathy -Possible small fiber neuropathy. Patient had tried physical therapy, acupuncture, and massage to help relieve symptoms - in addition to a multitude of dietary changes, supplements, and medications to help deal with the multitude of "suggested" diagnoses as well as symptoms. Every doctor had basically told us that treatment was really just trial and error because no one really knows the true diagnosis. Tired of hearing "he was such a unique case." Currently, patient was undergoing intravenous immunoglobulin (IVIG) antibody infusions to help support patient immune system. Patient actually really loves his work; patient loves to help people and there wasn't much that takes him down. But this had seriously compromised every aspect of patient life. Since February, the number of doctors who had said, "you are a very unique case", and the number of "diagnoses" that had been suggested. Doctors could not help but think they were missing something.  The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from covid diagnosis with symptoms, recovered with sequelae from sore (perhaps a bite) in patient left leg, and the outcome of possible chronic lymes disease, possible babesia, possible epstein-barr, possible post-covid inflammatory chorea, possible chronic inflammatory polyneuropathy, possible small fiber neuropathy and possible cervical dystonia was not reported. This report was serious (Other Medically Important Condition).; Sender's Comments: Lyme disease, Babesiosis, Bite. Another cause for the event has been clinically confirmed. Therefore, these events are considered inconsistent with vaccine administration. COVID-19. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event. Specifically: NATURE OF EVENT (COVID 19 Pandemic situation). Therefore, this event is considered inconsistent with vaccine administration. Epstein-Barr virus infection. Insufficient information is available to make a causality assessment. Therefore, this event is considered unclassifiable. Chorea, Polyneuropathy chronic, Small fibre neuropathy, Torticollis. Another cause for the event has been clinically confirmed. Therefore, these events are considered inconsistent with vaccine administration.