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

This is VAERS ID 1166746



Case Details

VAERS ID: 1166746 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-03-14
Onset:2021-03-26
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: vitamin D, vitamin B-12
Current Illness:
Preexisting Conditions: depression, vitamin D deficiency
Allergies: no known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Symptoms started as numbness and weakness in her feet which progressed to her hands, and eventually whole body. Diagnosis is Guillain-Barre syndrome. Remains hospitalized and receiving IVIG.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1166746

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