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This is VAERS ID 1291625

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1291625
VAERS Form:2
Age:56.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-23
Onset:2021-03-23
Submitted:0000-00-00
Entered:2021-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Guillain-Barre syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: - Albuterol HFA - Calcium citrate vitamin D3 - Cyclosporine - Epipen 2-pak - Allegra - Flucelvax quad 2020-2021 - Glucosamine/chondrotin sulfate - Hydocholathiazide - Losartan - Mometasone formoterol - Montelukast - MVI adult 1 with Vita
Current Illness:
Preexisting Conditions: - Essential hypertension - Moderate persistent asthma - Obesity - Thyroid nodule
Allergies: - Pollen - Prednisone- frequent urination
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS/AIDP

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