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This is VAERS ID 1308069

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1308069
VAERS Form:2
Age:37.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-04-09
Onset:2021-04-27
Submitted:0000-00-00
Entered:2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Guillain-Barre syndrome, Lumbar puncture

Life Threatening? Yes
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)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ompemrozal, allegra
Current Illness: NA
Preexisting Conditions: NA
Allergies: Sulfa
Diagnostic Lab Data: Lumbar puncture
CDC 'Split Type':

Write-up: Developed Guillian Barre

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