Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Neurological examination normal, Oxygen saturation decreased, Paralysis, Scan with contrast normal
Clinical narrative: On May 7th, 10 hours after receiving my second Pfizer dose, at 12:40am, I started to experience bouts of muscle weakness and limb paralysis. By around 2:00am on Saturday, May 8th, I was fully paralyzed and unable to move or speak for at least 5 minutes. After regaining some movement and speaking ability, I yelled my wife?s name who immediately called 911 where I was transported to ED.  While in the ED on Saturday, May 8th, I received a full blood panel, urine analysis, CT with contrast, EKG, and neurology consultation to rule out possible TIA and CVA. All tests came back within normal limits and unremarkable.   During my CT scan, I began to experience a new episode of paralysis, lasting more than 20 minutes, that resulted in dyspnea. I am not claustrophobic and have never experienced dyspnea. After the scan, I was administered supplemental oxygen through a nasal cannula. My O2 SAT was in the high 90s for the majority of the morning. From 4:00 to 5:00am on Saturday, May 8th, my O2 SAT dropped to the low 80 range several times, but was able to regain normal O2 SAT. Around 6:00am, I recovered with no paralysis episodes and was monitored until 11:30am when I was discharged from the ED.  I was brought home and was functioning normally with no paralysis episodes for ~28 hours, until Sunday, May 9th at 9:30am, where I had another episode of full body paralysis with no dyspnea, in which paramedics took me back to the ED. At this visit, I had an MRI, which came back normal, and an EEG with a different neurologist. The results of the EEG were normal, even during these paralytic episodes, in which I had 3 during the EEG test.  I was admitted to the hospital Monday, May 10th for further observation and evaluation for at least the next two nights. My medical team consisted of a psychiatrist, neurologist, and generalist. I received his final diagnostic test of a lumbar puncture Tuesday, May 11th in the afternoon, which also came back unremarkable and within normal limits.  It is to note that these episodes of partial and full body paralysis come and go, sometimes at intervals of 30 seconds to as long as 25 minutes. During the episodes, I am unresponsive, but am able to breathe as well as cognitively alert with unimpaired memory. I can recall everything that has happened to me and I regain full function, motor and speech abilities once the episode passes.  After discharge on May 11th, I had no episodes until Wednesday June 11th late morning where I had another episode during a work video meeting. My wife called 911 and I was admitted to the hospital and observed until June 22nd. It is during this admission that another neurologist evaluated my episodes and diagnosed me with Functional Neurological Disorder.   Since June 22nd, I have had spouts of paralysis episodes here and there, latest episode being November 7th at 10:45pm. These episodes are inconsistent with unknown causes or triggers. It is to note that prior to getting the second Pfizer vaccine, my medical history was unremarkable as I am a healthy 29 year old who exercises regularly, eats well, and doesn?t smoke nor drink. There is no coincidence that the second COVID shot caused this serious adverse reaction of paralysis in which it is unknown that I will fully recover from.