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

This is VAERS ID 1303022

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Case Details

VAERS ID: 1303022 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-13
Onset:2021-03-25
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram cerebral normal, CSF protein increased, CSF test abnormal, Computerised tomogram head normal, Guillain-Barre syndrome, Magnetic resonance imaging head normal, Muscular weakness, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Eliquis, Amlodipine, Benazepril, Metformin, Oxybutynin, Gemfibrozil, Sildenafil
Current Illness: None
Preexisting Conditions: hypertension, non insulin-dependent diabetes mellitus, dyslipidemia, prostate cancer s/p prostatectomy, history of deep vein thrombosis and pulmonary embolism
Allergies: No known drug allergies
Diagnostic Lab Data: 3/28 - CSF with albuminocytologic dissociation, noncontrast head CT and MRI/MRA brain without acute findings
CDC Split Type:

Write-up: Bilateral lower extremity weakness, bilateral hand paresthesia, areflexia - diagnosed as Guillain Barre Syndrome by neurology team


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