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

This is VAERS ID 1182108



Case Details

VAERS ID: 1182108 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-03-09
Onset:2021-04-03
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Areflexia, Facial paralysis, Facial paresis, Guillain-Barre syndrome, Immunoglobulin therapy, Magnetic resonance imaging head abnormal
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Demyelination (narrow), Hearing impairment (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: lorazepam prn
Current Illness:
Preexisting Conditions: Anxiety
Allergies: None
Diagnostic Lab Data: MRI brain WWO 4/8/2021: "The subtle enhancement of the 7th and 8th nerve complex is unusual in that it is bilateral. It does, however, correlate with the reported consultation note of Dr. in the electronic medical record. An inflammatory process is favored."
CDC Split Type:

Write-up: Patient developed bilateral facial weakness starting on 4/3/2021, progressed over the course of five days until she presented to the emergency department on 4/8/2021. Exam with bilateral CN VII palsy and lower extremity areflexia. MRI brain shows enhancement of bilateral CN VII and VIII. Suspect GBS, treating with IVIG.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1182108

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