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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1446289



Case Details

VAERS ID: 1446289 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-06-01
   Days after vaccination:50
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031A21A / 2 AR / SYR

Administered by: Public       Purchased by: ?
Symptoms: Guillain-Barre syndrome, Immunoglobulin therapy, Lumbar puncture, Magnetic resonance imaging
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), 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? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atenolol, vitamin D3 50,000 IU, flonase
Current Illness: None
Preexisting Conditions: High blood pressure.
Allergies: None
Diagnostic Lab Data: MRI and Spinal tap on 6/30/2021
CDC Split Type:

Write-up: Diagnosed with Gillain Barr? syndrome and I would to be involved with a case study to determine if the vaccine caused the development of my condition and would like to know if similar reports have been made to help the community. Still undergoing treatment IVIG.


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