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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1382577

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Case Details

VAERS ID: 1382577 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-11
Onset:2021-05-26
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: CSF protein increased, Guillain-Barre syndrome, Magnetic resonance imaging head, Magnetic resonance imaging spinal abnormal, Muscular weakness, Plasmapheresis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Alcohol use Chronic back pain (history of L4-5 laminectomy in 1991)
Allergies: No known allergies
Diagnostic Lab Data: MRI brain and complete spine with hyperattentuation CSF with protein $g 500 Please note: patient is still in hospital at time of the filing. Currently on hospital day 9.
CDC Split Type:

Write-up: Weakness of lower extremities and arms that started around 5/26 and progressed over the next week until admission on 5/31. MRI brain and spine with diffuse enhancement and CSF with protein $g 500. Started on PLEX for presumed Guillan Barre Syndrome. He is slowly improving after 4 sessions.


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