Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Fatigue, Insomnia, Psychotic disorder
Clinical narrative: PSYCHOTIC EPISODES; MINIMAL SLEEP FOR AT LEAST 50 HOURS; TIREDNESS; This spontaneous report received from a consumer concerned a 29-year-old white  female. The patient's height, and weight were not reported. The patient's concurrent conditions included cognitive disability, but she was not on medication for anything.  The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 10805031 expiry: UNKNOWN) dose was not reported, administered on 17-MAR-2021 in left arm around 4:40 pm for prophylactic vaccination. No concomitant medications were reported. On 31-MAR-2021, the patient exhibited bizarre behaviors that raised eyebrows but not red flags, as her father thought she was goofing around, she was talking loudly and laughing to herself with nobody around. She seemed very tired, taking a long time in the bathroom (about an hour/an hour and a half). On 03-APR-2021, she was saying things that did not make sense and people could not make sense of what she was talking about. On 04-APR-2021, she started experiencing really bizarre behavior. She was hearing voices, talking to herself and seeing people that were not there, insisting that people were coming over to the house and she had to go there. By the evening, she experienced hallucinations and delusions. She was taken to emergency hospital. She had been awake for about 12 hours, possibly longer. She was tested for a urinary tract infection, but the result was negative. In the emergency room, she had a blood test and computed tomography (CT) scan that did not show anything. In the night on same day, her condition was bad. She was trying to get out of the house. On 05-APR-2021, at 6am, she went back to the hospital room and was admitted to the psych ward for psychotic behaviors. She had been there for 7 days. She had been on unspecified medications, which was helping the symptoms. She was examined by a doctor and admitted to the psychiatric ward. In the evening on same day, her behavior became more severe, showed signs of aggression, flipping furniture, throwing things, saying a light on the wall was watching her. On 06-APR-2021, the psychiatrist stated that she was experiencing psychotic episodes and she was put on antipsychotic medication and examined her. She did not sleep for almost 3 days, started 04-APR-2021 morning at 7:00 am until 06-APR-2021 night (about 50 hours with minimal sleep). Then she was sedated, and she finally slept.  The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from minimal sleep for at least 50 hours on 06-APR-2021, was recovering from psychotic episodes, and the outcome of tiredness was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender's Comments: V0-20210420207- Covid-19 vaccine ad26.cov2.s-psychotic episodes. This event is considered unassessable. The event 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.