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This is VAERS ID 1307244

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1307244
VAERS Form:2
Age:27.0
Sex:Male
Location:North Carolina
Vaccinated:2021-04-09
Onset:2021-04-29
Submitted:0000-00-00
Entered:2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: CSF protein increased, Facial paralysis, Guillain-Barre syndrome, Hypoaesthesia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Erythromycin, Sulfa
Diagnostic Lab Data: CSF protein prominently elevated at 94. Findings consistent with variant Guillain Barre syndrome
CDC 'Split Type':

Write-up: Patient admitted to the hospital on 5/10/2021 with bilateral facial nerve palsies, followed by numbness and tingling of both arms and legs. Symptoms starting to resolve.

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