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

This is VAERS ID 1478029

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Case Details

VAERS ID: 1478029 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-03-17
Onset:2021-04-06
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: CSF protein increased, Guillain-Barre syndrome, Lumbar puncture, Red blood cell count increased, White blood cell count normal
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 19 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: sisingulair ramipril phenobarbital lipitor coumadin aspirin
Current Illness: N/A
Preexisting Conditions: cervical spine cord compression
Allergies: carbamazepine dilantin
Diagnostic Lab Data: Lumbar puncture - 2 WBC, <1000 RBC, protein 1960
CDC Split Type:

Write-up: Patient was hospitalized for Guillain Barre Syndrome


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