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

This is VAERS ID 1232369

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Case Details

VAERS ID: 1232369 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: New York  
Vaccinated:2021-03-15
Onset:2021-04-07
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Guillain-Barre syndrome, Immunoglobulin therapy, Lumbar puncture abnormal, Magnetic resonance imaging, Nerve conduction studies abnormal
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hearing impairment (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine 5 mg, Ramipril 10 mg, baby aspirin
Current Illness: None
Preexisting Conditions: High blood pressure - well under control with BP meds
Allergies: None
Diagnostic Lab Data: CT scan, multiple MRIs, lumbar puncture, nerve mapping test, blood tests to rule out Lyme, etc. Hospitalization testing and treatment is still ongoing.
CDC Split Type:

Write-up: Guillian-Barre Syndrome and Bell''s Palsy - inpatient hospitalization, treated with immunoglobulin infusion, transferred to another Hospital and awaiting further treatment


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