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This is VAERS ID 1470657

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1470657
VAERS Form:2
Age:55.0
Sex:Male
Location:Puerto Rico
Vaccinated:2021-04-09
Onset:2021-06-10
Submitted:0000-00-00
Entered:2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Diarrhoea, Full blood count, Guillain-Barre syndrome, Headache, Intensive care, Lumbar puncture, Nasal congestion, Pain in extremity, Paralysis, Pyrexia, Urinary incontinence, Cardiopulmonary bypass, Immunoglobulin therapy, Mycoplasma test, Influenza virus test, Anal incontinence, SARS-CoV-2 test

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: 27     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Irbesartan-Hydrochlorothiazide 150-12.5 mg
Current Illness: Hypertension
Preexisting Conditions: Hypertension
Allergies: No Known Allergies
Diagnostic Lab Data: Covid-19 Test, Influenza Test, Mycoplasma Test, Lumbar Punction (6/20/2021), CBC
CDC 'Split Type':

Write-up: Adverse Events: Headache, Fever, Diarrhea, Nasal Congestion, Leg Pain, Weakness, Paralysis Dx. Guillain Barre Treatment: Immunoglobulin, Sodium Chloride 0.9%, Respiratory Bypass, Oxygen Outcomes: Patient actually in Intensive Care Unit at Hospital receiving treatment. Continue with oxygen by nasal cannula, whole body paralysis with urinary and feccal incontinence (foley and diaper). Symptoms begin since June 10,2021. Admission to Hospital on June 17, 2021 to present.

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