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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1280230

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Case Details

VAERS ID: 1280230 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Alaska  
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-05-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), 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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: atorvaSTATin (LIPITOR) 20 mg tablet (Taking) Take 20 mg by mouth nightly. lisinopril (PRINIVIL, ZESTRIL) 10 mg tablet (Taking) Take 10 mg by mouth Daily. omeprazole (PRILOSEC) 20 mg capsule (Taking) Take 20 mg by mouth every morning (b
Current Illness: Hypertension, osteoarthritis
Preexisting Conditions:
Allergies: PCN, cipro
Diagnostic Lab Data:
CDC Split Type:

Write-up: Developed Gullain Barre Syndrome approximately 2 weeks after vaccination

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