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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1146222

Case Details

VAERS ID: 1146222 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Texas  
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Dysarthria, Facial paralysis, Fall, Gait inability, Guillain-Barre syndrome, Hypoaesthesia, Hypoaesthesia oral, Intensive care, Muscular weakness, Paralysis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atorvastin Lisinopril Carvedilol
Current Illness: none
Preexisting Conditions: CHF
Allergies: NONE none
Diagnostic Lab Data: unit being monitored--- has been diagnosed with Guillian Barre syndrome awaiting test results and is to receive immunoglobulin intravenously. Possible unable to swallow without aspirating.
CDC Split Type:

Write-up: started getting numbness in hands-fingers and lips and then numbness to feet and fell to ground with inability to walk - no strength in legs knees or arms. left facial drooping and slurring of speech and severe weakness -paralyzed

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