National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1077790

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1077790
VAERS Form:2
Age:42.0
Sex:Female
Location:Maryland
Vaccinated:2021-02-11
Onset:2021-02-17
Submitted:0000-00-00
Entered:2021-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Areflexia, Electromyogram, Guillain-Barre syndrome, Lumbar puncture, Muscular weakness, Paraesthesia, Sensory disturbance, Nerve conduction studies, Laboratory test, Immunoglobulin therapy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None, prior hypertension
Allergies: None
Diagnostic Lab Data: Lumbar Puncture (3/4) Laboratory Diagnostics (3/1-3/6) EMG/NCS (3/5)
CDC 'Split Type':

Write-up: Guillain-Barre-Landry Syndrome (AIDP). Presented with paresthesia''s, loss of Deep Tendon Reflexes, and proximal $g distal LE weakness. Placed on IVIG on 3/4/2021 with improved symptoms of LE weakness but noted residual abnormal sensation


Changed on 5/7/2021

VAERS ID: 1077790 Before After
VAERS Form:2
Age:42.0
Sex:Female
Location:Maryland
Vaccinated:2021-02-11
Onset:2021-02-17
Submitted:0000-00-00
Entered:2021-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Areflexia, Electromyogram, Guillain-Barre syndrome, Lumbar puncture, Muscular weakness, Paraesthesia, Sensory disturbance, Nerve conduction studies, Laboratory test, Immunoglobulin therapy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None, prior hypertension
Allergies: None None
Diagnostic Lab Data: Lumbar Puncture (3/4) Laboratory Diagnostics (3/1-3/6) EMG/NCS (3/5)
CDC 'Split Type':

Write-up: Guillain-Barre-Landry Syndrome (AIDP). Presented with paresthesia''s, loss of Deep Tendon Reflexes, and proximal $g distal LE weakness. Placed on IVIG on 3/4/2021 with improved symptoms of LE weakness but noted residual abnormal sensation


Changed on 5/21/2021

VAERS ID: 1077790 Before After
VAERS Form:2
Age:42.0
Sex:Female
Location:Maryland
Vaccinated:2021-02-11
Onset:2021-02-17
Submitted:0000-00-00
Entered:2021-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Areflexia, Electromyogram, Guillain-Barre syndrome, Lumbar puncture, Muscular weakness, Paraesthesia, Sensory disturbance, Nerve conduction studies, Laboratory test, Immunoglobulin therapy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None, prior hypertension
Allergies: None None
Diagnostic Lab Data: Lumbar Puncture (3/4) Laboratory Diagnostics (3/1-3/6) EMG/NCS (3/5)
CDC 'Split Type':

Write-up: Guillain-Barre-Landry Syndrome (AIDP). Presented with paresthesia''s, loss of Deep Tendon Reflexes, and proximal $g distal LE weakness. Placed on IVIG on 3/4/2021 with improved symptoms of LE weakness but noted residual abnormal sensation

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1077790&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166