VAERS ID: 1017911

AGE: 35| SEX: M|STATE: CA (United States)

Description

Altered mental status and psychosis lasting several days which responded to therapeutic intervention including close psychiatry evaluation, PCP follow-up, and neurology consultation with medications including anti-psychotics (olanzepine 10 mg twice daily) and ramelteon (8 mg once daily at bedtime).

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Psychotic disorder, Full blood count, Metabolic function test, Mental disorder, International normalised ratio, Blood folate, Scan with contrast, Ceruloplasmin, Vitamin B6, Computerised tomogram neck, Magnetic resonance imaging head

Vaccines

VAX DATE: 12-30-2020| ONSET DATE: 12-31-2020| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 037K20A IM LA

RECVDATE:02-09-2021
RPT_DATE:
CAGE_YR:35
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:CMP, CBC, ceruloplasmin, B6, folate, INR, CT scan of the neck (with contrast), and MRI of the brain (with and without contrast)
V_ADMINBY:WRK
OTHER_MEDS:sertraline (200 mg daily) and clonazepam (0.25 mg daily)
CUR_ILL:none
HISTORY:Hodgkin's lymphoma (recently treated)
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:02-09-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:none
V_FUNDBY:

Questions? Comments? Bugs?
[email protected]
Due to the high volume of inquiries, please be patient with response times.

AND PLEASE read the FAQ first.

OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.