Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Muscle atrophy, Muscle spasms, Muscle twitching, Muscular weakness
Clinical narrative: 4/23/21 ? 1st Moderna vaccine received #001C21A ? Right upper extremity arm weakness began within a couple days  (reported at his 5/24/21 appt with his PCP.  Dr. at Medical Offices) 5/21/21 ? 2nd Moderna vaccine received #025C21A 5/24/21 and 6/08/21 ? Appt. With Dr. for right arm weakness- Rx for OT given ? (weight 245 lbs and height 6? 4.5?) 6/22/21 ? sick and bedridden with high fever, body aches, back spasms, sore throat, cough and acute sinusitis 6/28/21 ? phone nurse visit ? and then outpatient visit for 6 days of above symptoms ? chest xray, covid test, strep test and flu test all came back negative  7/02/21 ? Dr. visit for continued fever (102 degrees), sore throat, cold sores, etc?  Patient has lost 20 lbs 7/30/21 ? Dr. appt for abnormal weight loss, exhaustion, extreme weakness ? He has lost 25+ lbs ? He now has left side weakness also, twitching on left and right, muscle atrophy in arms and legs, can?t do transfers anymore ? in bed 16hrs/day ? continued respiratory illness 9/29/21 ? video visit with Rehab Dept ? weakness is getting worse in arms 1/01/22 ? Patient switched health insurance and medical care ? extreme weight loss continues (estimated 70lbs lost) ? harder for him to talk ? still understandable but takes great effort to get words out  - He is having trouble taking full breaths in order to talk.  It took several weeks to get appts. lined up with new insurance, doctors and medical facilities to try to figure out what is going on with his serious health issues.  Mid Feb 2022 ? Estimated weight loss 90 lbs- getting harder for him to take breaths ? His speech is going downhill and hard to understand.  He is spelling words because people can?t understand his speech 3/14/22 ? Pulmonary Physiology Services ? Dr. ? pulmonary testing ? Patient is operating at 40% capacity ? decreased respiratory muscle strength  4/10/22 ? Dr. (spine clinic) ? she tried to figure out if there were spine abnormalities causing his symptoms and worsening weakness ? nothing significant found 4/29/22 ? Dr. (speech therapist) ? determined Patient can?t do speech therapy b/c he doesn?t have the ability to fill his diaphragm as needed for appropriate speech     5/06/22 ? Dr. diagnosed Patient with fast-progressing ALS.  EMG done at that time confirming the diagnosis.  After this date, Patient was seen by ALS clinic (P.A.) ? extreme weight loss continues, muscle loss, weakness, inability to communicate or eat, no bowel or bladder control, very fast progressing symptoms ? coughing is a problem because he cannot clear phlegm 5/18/22 ? Dr. (pain mgmt.)back pain and weakness symptoms 6/01/22 ? Patient was trained on eye-gase computer to try to give him a means to try to communicate  ? eating very little ? chokes on water if not thickened ? falls over in his chair because little core strength ? caregivers do all his care because he cannot move.  Pushing the joystick on his power chair is one of the few things he can do 7/17/22 ? Patient put on in-home hospice care 8/11/22 ? Patient has no core strength and no ability to sit upright.  This caused him to fall out of his power wheelchair.  He was taken ER.  His condition was deteriorating daily.  He could only communicate by blinking his eyes to yes/no questions.  Unable to move body. 8/12/22 ? Patient was transferred to Hospice ? he was in extreme pain, could not eat or move any extremities.  Weight is now 130 lbs 8/22/22 ? Patient passed away at 53 years old ? 15 mos after two Moderna shots - an absolutely awful way to die! His health took immediate nose-dive after two doses of Moderna vaccine.  Diagnosed with fast-progressing ALS.  He had no symptoms of this disease before the vaccines.