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This is VAERS ID 1134203

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1134203
VAERS Form:2
Age:55.0
Sex:Male
Location:Florida
Vaccinated:2021-03-06
Onset:2021-03-17
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: CSF glucose normal, CSF lymphocyte count normal, CSF protein increased, Guillain-Barre syndrome, Lumbar puncture, CSF neutrophil count increased, CSF white blood cell count, Computerised tomogram head normal, Computerised tomogram spine

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: none
Preexisting Conditions: Prostate cancer Esophageal reflux disease Hypercholesterolemia
Allergies: None
Diagnostic Lab Data: Normal Brain Ct scan Normal Spine Ct scan Lumbar puncture: 4wbc, 12 % neutrophile, 76 % lymphocytes; Protein: 162; Glucose: 61
CDC 'Split Type':

Write-up: Guillan-Barre syndrome


Changed on 5/7/2021

VAERS ID: 1134203 Before After
VAERS Form:2
Age:55.0
Sex:Male
Location:Florida
Vaccinated:2021-03-06
Onset:2021-03-17
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: CSF glucose normal, CSF lymphocyte count normal, CSF protein increased, Guillain-Barre syndrome, Lumbar puncture, CSF neutrophil count increased, CSF white blood cell count, Computerised tomogram head normal, Computerised tomogram spine

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: none
Preexisting Conditions: Prostate cancer Esophageal reflux disease Hypercholesterolemia
Allergies: None None
Diagnostic Lab Data: Normal Brain Ct scan Normal Spine Ct scan Lumbar puncture: 4wbc, 12 % neutrophile, 76 % lymphocytes; Protein: 162; Glucose: 61
CDC 'Split Type':

Write-up: Guillan-Barre syndrome


Changed on 5/14/2021

VAERS ID: 1134203 Before After
VAERS Form:2
Age:55.0
Sex:Male
Location:Florida
Vaccinated:2021-03-06
Onset:2021-03-17
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: CSF glucose normal, CSF lymphocyte count normal, CSF protein increased, Guillain-Barre syndrome, Lumbar puncture, CSF neutrophil count increased, CSF white blood cell count, Computerised tomogram head normal, Computerised tomogram spine

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: none
Preexisting Conditions: Prostate cancer Esophageal reflux disease Hypercholesterolemia
Allergies: None None
Diagnostic Lab Data: Normal Brain Ct scan Normal Spine Ct scan Lumbar puncture: 4wbc, 12 % neutrophile, 76 % lymphocytes; Protein: 162; Glucose: 61
CDC 'Split Type':

Write-up: Guillan-Barre syndrome

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1134203&WAYBACKHISTORY=ON

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