National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 1243318

Government Disclaimer on use of this data

Case Details

VAERS ID: 1243318 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Utah  
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, CSF glucose normal, CSF lymphocyte count abnormal, CSF monocyte count increased, CSF protein increased, CSF red blood cell count, CSF white blood cell count, Coccydynia, Fatigue, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy, Lumbar puncture, Muscle spasms, Muscular weakness, Neck pain, Pain in extremity, Paraesthesia, Spinal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Dystonia (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Malignant lymphomas (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (broad)

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? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin D3 5000 IU daily, clobetasol 0.05% topical BID PRN, diclofenac 75 mg BID, gabapentin 300 mg TID, tramadol 50 mg BID prn pain, THC gummies daily at bedtime
Current Illness: Back pain
Preexisting Conditions: Vitamin D deficiency
Allergies: NKDA
Diagnostic Lab Data: LP: CSF with 58 glucose, 322 protein, yellow and clear CSF fluid, < 1 WBC, < 1 RBC, lymphocytes 33%, monocytes 67%.
CDC Split Type:

Write-up: Progressive left arm pain and extending to patient''s neck and lateral shoulders peaking on 3/21/21. Numbness, tingling, and leg muscle cramps where patient went to urgent care on 3/2/21. Started on a 6 day prednisone course (40 mg daily x 4 days, 20 mg daily x 2 days) but had pain in his lumbar spine, tailbone, and hips. Muscle reflexes +1 in upper and lower extremities. Continued muscle weakness, cramping, and tingling with generalized fatigue seen in neurology clinic on 4/16/21. Admitted to the hospital on 4/21/21 for IVIG treatment and diagnosed with Guillain-Barre Syndrome.

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166