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This is VAERS ID 1346758

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1346758
VAERS Form:2
Age:35.0
Sex:Male
Location:California
Vaccinated:2021-05-05
Onset:2021-05-23
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Bell's palsy, CSF cell count normal, CSF protein increased, Dyskinesia, Extraocular muscle paresis, Guillain-Barre syndrome, Lumbar puncture abnormal, Facial paresis, Eyelid function disorder, Magnetic resonance imaging head abnormal

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NKA
Diagnostic Lab Data: LUMBAR PUNCTURE WITH CSF ANALYSIS REVEALS ELEVATED PROTEIN WITH NORMAL CELL COU MRI BRAIN WITH SUBTLE ENHANCEMENT OF FACIAL NERVES BILATERALLY PER NEUROLOGY READ
CDC 'Split Type':

Write-up: 35 Y/O MALE WITH NO SIGNIFICANT PMH PRESENTED TO EMERGENCY ROOM WITH ACUTE DIFFICULTY WITH MOUTH MOVEMENTS STARTING 18 DAYS AFTER JNJ COVID VACCINE. REPORTS DIFFICULTY WHISPERING, SMILING, PREVENTING LIQUIDS FROM LEAKING WHILE EATING. PATIENT IS UNABLE TO WRINKLE FOREHEAD, HAS SIGNFICANT WEAKNESS OF EYE CLOSURE WITH INCOMPLETE EYE CLOSURE ON BOTH EYES. NEUROLOGY DIAGNOSED PATIENT WITH BILATERAL PERIPHERAL FACIAL NERVE PALSY THAT IS LIKELY DUE TO GUILLAIN-BARRE SYNDROME VARIANT.

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