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

This is VAERS ID 1223655

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Case Details

VAERS ID: 1223655 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Utah  
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Senior Living       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Fatigue, Guillain-Barre syndrome, Headache, Illness, Lumbar puncture abnormal, Magnetic resonance imaging, Muscular weakness, Pain in extremity, Paraesthesia, Ultrasound scan
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Hearing impairment (broad), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: lisinopril pantoprazole
Current Illness: none
Preexisting Conditions: none
Allergies: penicillins, quinoloness
Diagnostic Lab Data: Several blood tests, mri''s, ct scan, spinal tap and ultra sound on neck. Put on anti viral and prednisone. Scheduled for infusion therapy.
CDC Split Type:

Write-up: tingling in hands and feet, headache, tired, bilateral bells palsy. Pain in arms and legs and weakness with extreme fatigue. Went to the ER, twice and was admitted. . Diagnosed with guillain-barr? syndrome. Still sick.

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