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This is VAERS ID 1478029

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1478029
VAERS Form:2
Age:59.0
Sex:Female
Location:New Jersey
Vaccinated:2021-03-17
Onset:2021-04-06
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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 19     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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