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This is VAERS ID 1309969

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1309969
VAERS Form:2
Age:61.0
Sex:Female
Location:Michigan
Vaccinated:2021-03-13
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Guillain-Barre syndrome, Lumbar puncture abnormal, Muscular weakness, Computerised tomogram head, Immunoglobulin therapy, Subacute inflammatory demyelinating polyneuropathy, Magnetic resonance imaging spinal abnormal, Magnetic resonance imaging thoracic

Life Threatening? Yes
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: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multivitamin daily
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Spinal tap, lumbar MRI, Thoracic MRI, Brain CT Scan, numerous neurological clinical exams, other?
CDC 'Split Type':

Write-up: Acute Inflammatory Demyelinating Polyneuropathy/Guillain-Barre Syndrome, 6-day in-patient hospital admission, IVIG for 5 days, outcome undetermined as yet. Initial symptoms include severe low back pain for a week followed by bilateral leg weakness and ascending paralysis.

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