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

This is VAERS ID 1466820

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Case Details

VAERS ID: 1466820 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-20
Onset:2021-06-25
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A210 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram, Guillain-Barre syndrome, Hypoaesthesia, Visual impairment
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (narrow), Glaucoma (broad), Optic nerve disorders (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow), 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? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Active Outpatient Medications Status ========================================================================= 1) ALBUTEROL 90MCG (CFC-F) 200D ORAL INHL INHALE ONE TO TWO PUFFS BY INHALATION EVERY SIX HO
Current Illness:
Preexisting Conditions:
Allergies: Magnesium
Diagnostic Lab Data:
CDC Split Type:

Write-up: Began with visual changes, numbness on June 25th; admitted to hospital July 9-12th, 2021 w/ presumtive Guillain Barre syndrome; has had CT scan showing no lesions


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