National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1391320

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1391320
VAERS Form:2
Age:51.0
Sex:Male
Location:Maryland
Vaccinated:2021-04-11
Onset:2021-04-26
Submitted:0000-00-00
Entered:2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Electromyogram, Guillain-Barre syndrome, Lumbar puncture, Paraesthesia, Nerve conduction studies, Laboratory test, Magnetic resonance imaging spinal, Magnetic resonance imaging neck, Magnetic resonance imaging head

Life Threatening? Yes
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: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Lumbar Puncture, MRI brain, Cervical neck, Lumbar spine, NCT/EMG, many serum lab tests. Way to much to include here as was admitted for 7 days for work up
CDC 'Split Type':

Write-up: gradual onset of paresthesias beginning exactly 14 days after vaccine administration. patient was then admitted to hospital on 5/22 when symptoms worsened and he was ultimately diagnosed with Guilliam Barre Syndrome.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1391320&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166