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

This is VAERS ID 1262491

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Case Details

VAERS ID: 1262491 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Michigan  
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Chest X-ray, Electrocardiogram, Full blood count, Guillain-Barre syndrome, Pain, Paraesthesia, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin
Current Illness: none
Preexisting Conditions: none
Allergies: sulfa, walnuts, apples
Diagnostic Lab Data: Complete blood panel, chest x-ray, EKG
CDC Split Type:

Write-up: Onset of symptoms: piercing sensation in legs, feet, ankles, knees and leg . Pain and pins and needles. Worsened at night. Tingling in fingers. 1:) Urgent care 2.) ER Dept 3.) Primary Care Dr. suspected Guillian Barre

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