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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1204953

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Case Details

VAERS ID: 1204953 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-03-15
Onset:2021-03-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Axonal and demyelinating polyneuropathy, CSF test abnormal, Electromyogram abnormal, Guillain-Barre syndrome, Nerve conduction studies abnormal, Protein albumin ratio abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Combipatch, Buproprion, Tums, Adderall, Diazepam, Vitamin D, Folic acid, Sertraline, Trazodone
Current Illness: None
Preexisting Conditions: PTSD, dissociative disorder
Allergies: NSAIDs
Diagnostic Lab Data: CSF with cytoalbuminologic dissociation (protein of 242 and 7 nucleated cells). EMG/NCS consistent with acute inflammatory demyelinating and axonal polyneuropathy.
CDC Split Type:

Write-up: Patient was found to have Guillian-Barre Syndrome during admission beginning on 4/10/2021.


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