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This is VAERS ID 1315729

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First Appeared on 5/14/2021

VAERS ID: 1315729
VAERS Form:2
Location:New Jersey
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

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

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: 30     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Guillain Barre syndrome
Preexisting Conditions: Comments: Unknown
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210518047

Write-up: GUILLAIN BARRE REACTIVATED; This spontaneous report received from a consumer via a company representative (Social media) concerned a male of unspecified age. The patient''s height, and weight were not reported. The patient''s concurrent conditions included Guillain-Barre. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported, 1 total dose was administered on 02-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the patient experienced Guillain-Barre reactivation and was hospitalized for a month. It was reported that "Guillain-Barre has woke him up with the vaccine". The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The outcome of Guillain-Barre reactivated was not reported. This report was serious (Hospitalization Caused / Prolonged.; Sender''s Comments: V0.20210518047-COVID-19 Vaccine Ad26.COV2.S -Guillain-Barre reactivated. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY

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