Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood test, Injection site pain, Lethargy, Magnetic resonance imaging head, Magnetic resonance imaging neck
Clinical narrative: MUSCLE ATROPHY OF THE LEFT ARM; LEFT ARM PARALYSIS (LEFT TRICEPS); LETHARGY; SORENESS IN INJECTION SITE; This spontaneous report received from a patient concerned a 55 year old male. Initial information was processed with the additional information received on 22-OCT-2021. The patient's weight was 190 pounds, and height was not reported. The patient's pre-existing medical conditions included: The patient was a healthy and athletic individual. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1822809 expiry: UNKNOWN) dose was not reported, 1 total, administered on 09-OCT-2021 to left arm for prophylactic vaccination. No concomitant medications were reported.  On 09-OCT-2021, the patient experienced soreness in injection site. On 10-OCT-2021, after inoculation, the patient experienced lethargy for 2 days. On 11-OCT-2021, the patient experienced numbness in left rear deltoid, middle deltoid and outside of left forearm that had not got better. After 4 to 5 days of vaccination, started with paralysis or strength loss in pinky finger that expanded/radiated to other digits one by one, until numbness felt on thumb and bottom of hand with significant 75 percentage loss of strength and numbness slightly on forearm and wrist. The patient would wake up in the morning with numbness on the left side including middle and rear deltoid, wrist, forearm and left fingers (the pinky finger was really weak) and paralysis in the left triceps. The legs were not involved and the right side was not involved. It had been getting worse and he had only 25 percentage of the strength in the left arm and fingers and he was quite worried about his future. The patient could hardly hold on to the railing with his left hand. The neurologists told him that his symptoms look as if it was a cervical C8 injury. He mentioned that they had not ruled out GBS. On an unspecified date, the patient called physician's office where patient was told to visit the emergency room and on 20-OCT-2021, the patient visited to emergency room and spent twelve hours. As per patient, this was consistent with cervical injury. He was also reporting muscle wasting (atrophy) on the left arm. At emergency room, the patient met with neurologists. On 21-OCT-2021, the patient had head MRI and cervical MRI with and without contrast done and resulted as negative/clear for any injuries and no physical injuries view. The doctors did not think it was Guillain-Barre syndrome, the patient stated that doctors did not know what was wrong and stated that it was related to the vaccine. On 21-OCT-2021 the patient had blood work, which was fine and also stated that the patient had potential paralysis and needed help. The patient was discharged from the neurology department of the hospital at 2:30 AM on the night of 21-OCT-2021.  The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from lethargy on 12-OCT-2021, and had not recovered from soreness in injection site, left arm paralysis (left triceps) and muscle atrophy of the left arm. This report was serious (Other Medically Important Condition).; Sender's Comments: V0: 20211043237-covid-19 vaccine ad26.cov2.s- left arm paralysis (left triceps). 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).