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

This is VAERS ID 1262361

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Case Details

VAERS ID: 1262361 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-01
Onset:2021-04-23
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Guillain-Barre syndrome, Intensive care, Mechanical ventilation
SMQs:, Peripheral neuropathy (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Respiratory failure (broad), 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: N/A
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: I was informed by CPT, that a patient who received the vaccine was in critical care and diagnosed with Guillian Barre Syndrome and is now on ventilator. Attempts to reach the DR or patient have been unsuccesful at this point but we will continue to try. I have no PMHx of the patient or current medications


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