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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1347443

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Case Details

VAERS ID: 1347443 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-03-10
Onset:2021-03-30
   Days after vaccination:20
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: Guillain-Barre syndrome, Lumbar puncture, Magnetic resonance imaging
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: progesterone 200mg fish oil 1000mg vit d 5000 units
Current Illness: none
Preexisting Conditions: a fib
Allergies: morphine neurontin
Diagnostic Lab Data: SPINAL TAP, MRI
CDC Split Type:

Write-up: PT DEVELOPED GUILLAIN-BARRE 3 WEEKS AFTER VACCINATION


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