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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1263152



Case Details

VAERS ID: 1263152 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-04-19
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Novolin N, Novolin R, aspirin 81mg, Prilosec
Current Illness: None
Preexisting Conditions: Type-1 Diabetic
Allergies: None
Diagnostic Lab Data: Blood test 04/21/2021, inconclusive
CDC Split Type:

Write-up: Left side facial / body numbness & tingling.


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