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

This is VAERS ID 1413336

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Case Details

VAERS ID: 1413336 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-31
Onset:2021-04-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Blood sodium decreased, Blood test normal, Bradycardia, Chest X-ray normal, Chest pain, Computerised tomogram thorax normal, Dyskinesia, Dyspnoea, Electrocardiogram normal, Fibrin D dimer increased, Full blood count normal, Gastrooesophageal reflux disease, Guillain-Barre syndrome, Head discomfort, Heart rate increased, Hypoaesthesia, Immunoglobulin therapy, Lumbar puncture, Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Magnetic resonance imaging spinal normal, Metabolic function test, Musculoskeletal stiffness, Nasal discomfort, Nervous system disorder, Neurological examination, Pain, Pain in extremity, Paraesthesia, Postural orthostatic tachycardia syndrome, Presyncope, Protein total increased, SARS-CoV-2 test negative, Spinal X-ray normal, Tachycardia, Throat irritation, Tremor, Troponin normal, Ultrasound Doppler normal
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (narrow), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hyponatraemia/SIADH (narrow), Cardiomyopathy (broad), Demyelination (narrow), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multivitamin, probiotic, occasional over the counter pain relief as needed (Tylenol, ibuprofen)
Current Illness: None
Preexisting Conditions: None
Allergies: Delayed skin reaction to CT contrast dye
Diagnostic Lab Data: 4/16 - CBC and metabolic panel; nothing notable, slightly low sodium 4/19 - spine X-ray - unremarkable; numerous blood tests, all normal, sodium back in range 4/22 - metabolic panel, normal; spinal MRI NORMAL 4/26 - EKG; numerous blood tests, all normal 4/27 - troponin normal; d dimer 866; Covid test negative; CT for pulmonary embolism negative 4/28 - CBC, troponin, metabolic panel, EKG all normal or close to range 4/29 - MRI head, cervical spine, and thoracic spine ; all came back no adverse findings 4/30 - lumbar puncture - tested for many things , but protein came back elevated ; led to GBS diagnosis 5/23 - many blood tests - d dimer elevated again at 1546; ultrasound for DVT negative for clots 5/24 - d dimer 1693; no other symptoms of PE so Ct/ VQ scan not recommended; orthostatics tested and showed increase of 30+ bpm upon standing 5/28 - numerous blood tests ; d dimer going down but still elevated at 1496 5/31 - numerous blood tests - normal or close to for all 6/14 - numerous blood tests all normal or close to 6/17 - chest X-ray normal
CDC Split Type:

Write-up: After receiving the vaccine on 3/31, experienced typical side effects noted such as sore arm, body aches, etc. - however two days after felt numbness and tingling in feet and hands which went away a few days later. On 4/14, the tingling in feet returned. Went to ER on 4/16 as tingling/numbness getting worse and progressing upward to legs; evaluated and sent home. Returned to ER on 4/22 as numbness/tingling continued to progress upward, evaluated and sent home. On 4/25, in addition to constant numbness/tingling, started experiencing tachycardia. Resting heart rate as well as heart rate doing simple tasks was high. Also began experiencing difficulty getting a full breath. Woke up 4/27 to worsening breathing and tachycardia, as well as new feelings of adrenaline rushes and Internal tremors throughout the body. PCP ordered Troponin and D Dimer and D Dimer elevated. Back to ER that day - negative Covid test - CT of chest showed no blood clots; sent home. That evening, resting heart rate was high and elevated even while lying down (90-110 bpm). The next day, 4/28, all symptoms continued and worsened as day progressed. Returned to ER and in the way experienced a pre syncope episode - upon arrival to ER blood pressure was 70/30; stabilized and sent home. Continued tachycardia and another pre-syncope episode that evening. Was referred to neurology and had appointment 4/29; all symptoms remained and were increasingly debilitating. Neurologist determined more testing needed, and was admitted to the hospital for observation/testing. Diagnosed with Guillain Barre Syndrome after head/neck/spine MRI and lumbar puncture, which showed elevated protein. Hospitalized for 5 day course of IVIG and discharged 5/4. Started feeling better for a few weeks, although numbness/tingling in legs/feet never went away. The week of 5/17 started feeling burning in throat/nose/chest and returning tachycardia; returned to ER 5/23, was admitted for observation as D Dimer high again - checked for DVT, all clear; testing and suspicion of Postural Orthostatic Tachycardia Syndrome (POTS); discharged 5/25. On evening of 5/30, experienced new concerning neurological tremors and sudden involuntary movements, as well as stiff neck/head. Returned to ER 5/31; evaluated and released. Have continued to experience autonomic nervous system dysfunction, POTS symptoms, tachycardia and bradycardia, constant numbness and tingling in extremities and occasional tingling/numbness in other areas in the body, pressure in head, internal tremors, adrenaline rushes, feelings of burning in throat/chest, suspected reflux; upcoming appointments with an Electrophysiologist and Neuromuscular Doctor for further evaluation. Note - also reported this using v-safe up until the weekly check ins were over


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