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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1078081

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Case Details

VAERS ID: 1078081 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-02-05
Onset:2021-03-06
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3427 / 1 OT / IM

Administered by: Private       Purchased by: ?
Symptoms: Diplopia, Fine motor skill dysfunction, Gait disturbance, Guillain-Barre syndrome, Lumbar puncture, Speech disorder
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Ocular motility disorders (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: benazapril dystolic hydralazine pantoprazole atorvastin calcium furosemide spririva multiple vitamin calcium, D & magnesium vitamin c vitamin e Glucosamine hci Condroitin Sulfate omega 3 fish oil CoQ-10 Aspirin Metamucil
Current Illness: high blood pressure that is treated, that is monitored
Preexisting Conditions: same as above
Allergies: sulfa gives a gastric reaction
Diagnostic Lab Data: 2/25/21: lumbar puncture
CDC Split Type:

Write-up: Guillian Barre reaction (difficulty walking, difficultyusing hands- small motor skills; difficulty speaking; began on 2/7/21 and continued to worsen until hospitalization on 2/24/21 and 5 plasmapheresis treatments. While hospitalized patient has developed double vision.


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