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This is VAERS ID 1424580

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1424580
VAERS Form:2
Age:74.0
Sex:Female
Location:Unknown
Vaccinated:2021-06-01
Onset:2021-06-06
Submitted:0000-00-00
Entered:2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Guillain-Barre syndrome

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)? Yes
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Shrimp, radish, ginger
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: AIDP

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1424580&WAYBACKHISTORY=ON


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