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

This is VAERS ID 1234455

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Case Details

VAERS ID: 1234455 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-03-24
Onset:2021-04-01
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy, Facial paralysis, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy, Lumbar puncture abnormal, Mastication disorder, Neurological symptom, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Demyelination (narrow), Hearing impairment (broad), 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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Gabapentin.
Current Illness: None. Was healthy at and prior to vaccination.
Preexisting Conditions: None.
Allergies: None
Diagnostic Lab Data: Lumbar puncture, 4/19/21, Guillain Barre syndrome with Bell?s palsy of the facial muscles.
CDC Split Type:

Write-up: One week after taking the vaccine the patient developed numbness and tingling in his face, hands, and feet. These symptoms progressed over time and on April 18, 2021, he presented to the ER with ?weird nerve symptoms,.? He remained there overnight and was admitted the next day., He was diagnosed by lumbar puncture with Bell?s palsy of the face secondary to Guillain Barre syndrome., He is presently still an inpatient there. He?s being treated with IV immunoglobulins, with no improvement. His eyes and facial muscles droop, and he has difficulty chewing food. The patient has no PCP but the hospital should be able to give you medical records of his admission. The patient and I both strongly support vaccines, and we were both eager to be vaccinated, but we don?t believe this rare illness has struck him with no precipitating event except the vaccine.


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