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This is VAERS ID 1467302

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1467302
VAERS Form:2
Age:78.0
Sex:Male
Location:Colorado
Vaccinated:2021-05-12
Onset:2021-06-02
Submitted:0000-00-00
Entered:2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: CSF protein increased, Guillain-Barre syndrome, Muscular weakness, Paraesthesia, Immunoglobulin therapy, Magnetic resonance imaging spinal abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril, Gemfibrozil
Current Illness: None
Preexisting Conditions: HTN, HLD
Allergies: None
Diagnostic Lab Data: MRI lumbar spine showing intrathecal enhancement surrounding the cord and extending to the L5-S1 level CSF protein 828
CDC 'Split Type':

Write-up: The patient developed paresthesias and weakness in the legs approximately 2 weeks after the vaccine. After the thorough work-up he was diagnosed with Guillain-Barr? syndrome. He was treated with IVIG and has had some improvement.

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