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This is VAERS ID 1500874

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First Appeared on 7/30/2021

VAERS ID: 1500874
VAERS Form:2
Age:12.0
Sex:Female
Location:Minnesota
Vaccinated:2021-07-07
Onset:2021-07-20
Submitted:0000-00-00
Entered:2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Public      Purchased by: ??
Symptoms: Cerebrovascular disorder, Chest X-ray normal, Condition aggravated, CSF glucose decreased, CSF lymphocyte count normal, CSF protein increased, Demyelination, Disorientation, Disseminated tuberculosis, Fatigue, Headache, Infection, Nervous system disorder, Pyrexia, Screaming, Splenomegaly, Tuberculosis, Mental status changes, CSF neutrophil count increased, CSF white blood cell count increased, Nodule, Pulmonary mass, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Ischaemia, Spinal cord disorder, Latent tuberculosis, Computerised tomogram head abnormal, Interferon gamma release assay positive, CSF red blood cell count positive, Computerised tomogram pelvis abnormal, Lung opacity, Magnetic resonance imaging spinal abnormal, SARS-CoV-2 antibody test negative, Magnetic resonance imaging head abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: One month of mild cough, fatigue, weight loss.
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: Head CT scan 7/21/21: Scattered hypodense regions throughout both cerebral hemispheres but most pronounced in the left frontal lobe, nonspecific though diagnostic considerations including ischemia and/or demyelination. Further evaluation with MRI recommended. Brain and spine MRI 7/21/21: Innumerable nodular enhancing lesions throughout bilateral cerebral and cerebellar hemispheres with overlying leptomeningeal enhancement, along with two enhancing nodules within the pons as described. Overall appearance is most concerning for infection, with differential including atypical causes such as tuberculosis or parasitic (such as neurocysticercosis or amoebic). Metastatic disease or neurosarcoidosis could also have this appearance but are felt to be less likely. Two small nodular enhancing foci within the lower thoracic spinal cord as described. CT chest/abd/pelvis 7/21/21: 1. Innumerable tiny nodules diffusely throughout both lungs, with also patchy opacities in the left upper lobe and lingula, and in the dependent lung bases. Findings are suspicious for infection, including atypical etiologies such as tuberculosis. 2. Wedge-shaped area of hypoenhancement within the left kidney, and a smaller area in the left upper pole. Findings may represent infection or less likely infarction. 3. Mild splenomegaly. COVID antibody 7/21/21: negative CSF 7/21/21: WBC 31 (Lymph 60%, PMN 29%), RBC 7, gluc 32, prot 113
CDC 'Split Type':

Write-up: Prior to vaccine with a few weeks of weight loss, fatigue, and mild cough. Two days after vaccination with headache, self resolved. Then around 7/17 she developed tactile fevers, increasing fatigue, and headache. On 7/20 PM she had acute onset of altered mental status- she was screaming and disoriented. She was taken to the Hospital emergency department on 7/21 AM. Work up initially concerning for ADEM, although subsequent imaging consistent with miliary TB with CNS disease (tuberculomas). Patient was exposed to grandmother with MDR pulmonary TB in 2018. Patient was prescribed treatment for LTBI (QuantGold pos but negative CXR) but unclear if she took it. Currently started on therapy for MDR TB and remains hospitalized.

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