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

This is VAERS ID 1290037

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Case Details

VAERS ID: 1290037 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-08
Onset:2021-04-27
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Exposure during pregnancy, Facial paresis, Guillain-Barre syndrome, Lumbar puncture abnormal, Neurological symptom, Paraesthesia, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Demyelination (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: prenatal vitamins, Zoloft
Current Illness: none
Preexisting Conditions: depression, factor V Leiden heterozygous
Allergies: No known allergies
Diagnostic Lab Data: Lumbar puncture with elevated protein
CDC Split Type:

Write-up: Patient is 30 yo G1P0 at approximately 27 weeks gestation. Her pregnancy was complicated by depression on Zoloft. She reported an all-over body rash a week after the vaccine. Approximately 2 weeks later, she presented with neurological symptoms with L facial weakness, now with significant bifacial paresis and bilateral hand paresthesias concerning for Guillain Barre Syndrome which was confirmed on lumbar puncture.


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