![]() The cerebrospinal fluid (CSF) was colorless with normal opening pressure. The remainder of the complete blood count, liver function test, and complete metabolic profile were unremarkable. Antinuclear antibodies, myeloperoxidase and proteinase-3, antineutrophil cytoplasmic antibody (ANCA), and complement proteins were normal. C reactive protein was normal at 0.5 mg per liter (reference range of < 3 mg per liter). Laboratory work-up showed an elevated erythrocyte sedimentation rate (ESR) of 44 mm per hour (reference range of 0–20 mm per hour). The rest of the motor and sensory examination was unremarkable. There was no neck stiffness or focal neurological signs. He was responding to all questions appropriately. He had a fever of 102.6 ☏, tachycardia of 115 beats per minute, and elevated blood pressure of 157/67 mmHg. On physical examination at the time of presentation, he was alert and oriented to time, place, and person. He had no personal or family history of autoimmune disease. His family reported that his episodes of fever were associated with confusion, which would resolve after taking acetaminophen. On the day of presentation, the patient woke up with a fever, excessive sweating, and an inability to answer questions appropriately. He was treated symptomatically with acetaminophen and nonsteroidal antiinflammatory drugs. Initial work-up by his PMD revealed no abnormalities. He had visited his primary medical doctor (PMD) a week prior to presentation. His symptoms started 4 days after he received his first dose of the mRNA-1273 (Moderna) severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine. We present a case of a 69-year-old Hispanic male with no significant past medical history, who presented to the emergency department (ED) with complaints of fever and confusion for 3 weeks. In this report, we describe a case of a 69-year-old otherwise healthy male who presented with acute fever and confusion 4 days after receiving the first dose of the messenger RNA (mRNA)-1273 (Moderna) vaccine. Treatment includes steroids and immunosuppressive agents. With no specific defining test, the diagnosis is usually made on the basis of medical history and exclusion of other plausible causes, such as Central Nervous System (CNS) infections, cerebrovascular accidents, malignancy, and autoimmune conditions. Īcute disseminated encephalomyelitis (ADEM) is a well-known, but rare, side effect of some vaccines or symptom following a febrile illness, especially in children. ![]() Reported adverse effects of vaccines have ranged from mild symptoms, such as fever, injection site reactions, and headaches, to more severe reactions such as thromboembolic phenomenon and functional neurological disorders. When you’re ready for your clinicals, we’ll work with you to find a placement site anywhere in the U.S.With over 4.5 million lives lost to the coronavirus disease 2019 (COVID-19) pandemic globally, the development of COVID-19 vaccines, which have come to save millions of lives, has been timely indeed. Your faculty advisor will work with you throughout your education. When you join our program, you’ll also be joining a community dedicated helping you reach your goals. You’ll be ready to enter the job market a year before peers at other institutions. This allows you to complete your studies in as few as three years-one year faster than traditional PharmD programs. Plus, it features an accelerated trimester format that combines online coursework with on-campus lab intensives at the end of each term. Our Doctor of Pharmacy (PharmD) program is designed to offer you more flexibility through online delivery and six short, key on-campus learning experiences. Build the knowledge and skills you need to provide a critical healthcare service-and become a trusted community resource-with D’Youville’s innovative online PharmD program.Īs a leader in healthcare education, D’Youville is dedicated to building the next generation of pharmacy professionals and connecting them to early career success.
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