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This is VAERS ID 1160481

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1160481
VAERS Form:2
Age:59.0
Sex:Female
Location:Ohio
Vaccinated:2021-02-26
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001A21A / 2 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: CSF protein increased, Guillain-Barre syndrome, Lumbar puncture, CSF glucose increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: asa 81 mg novolog but truly not sure of what was being taken as had not seen pt in one yr
Current Illness: unknown
Preexisting Conditions: diabetes migraines ptsd depression morbid obseity
Allergies: pcn
Diagnostic Lab Data: spinal tap with elevated protein and sugar
CDC 'Split Type':

Write-up: Guillian Barre lower extremities


Changed on 5/7/2021

VAERS ID: 1160481 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:Ohio
Vaccinated:2021-02-26
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001A21A / 2 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: CSF protein increased, Guillain-Barre syndrome, Lumbar puncture, CSF glucose increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: asa 81 mg novolog but truly not sure of what was being taken as had not seen pt in one yr
Current Illness: unknown
Preexisting Conditions: diabetes migraines ptsd depression morbid obseity
Allergies: pcn pcn
Diagnostic Lab Data: spinal tap with elevated protein and sugar
CDC 'Split Type':

Write-up: Guillian Barre lower extremities


Changed on 5/21/2021

VAERS ID: 1160481 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:Ohio
Vaccinated:2021-02-26
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001A21A / 2 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: CSF protein increased, Guillain-Barre syndrome, Lumbar puncture, CSF glucose increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: asa 81 mg novolog but truly not sure of what was being taken as had not seen pt in one yr
Current Illness: unknown
Preexisting Conditions: diabetes migraines ptsd depression morbid obseity
Allergies: pcn pcn
Diagnostic Lab Data: spinal tap with elevated protein and sugar
CDC 'Split Type':

Write-up: Guillian Barre lower extremities

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