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This is VAERS ID 1362667

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1362667
VAERS Form:2
Age:32.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-11
Onset:2021-03-11
Submitted:0000-00-00
Entered:2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805 / 1 RA / SYR

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 63     Extended hospital stay? No
Previous Vaccinations:
Other Medications: keppera and toamax
Current Illness: gallbladder removal march 1,2021
Preexisting Conditions: epilepsy
Allergies: none
Diagnostic Lab Data: lumbar Punturce
CDC 'Split Type':

Write-up: guillian barre Sydrome

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