National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 1478150

Government Disclaimer on use of this data

Case Details

VAERS ID: 1478150 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Texas  
   Days after vaccination:70
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Guillain-Barre syndrome, Lumbar puncture
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: gemfibrozil metoprolol metformin losartan fiorcet asa coQ10 magnesium zyrtec
Current Illness:
Preexisting Conditions: hypertension hyperglycemia hyperlipidemia migrains hx of melanoma
Allergies: no known allergies
Diagnostic Lab Data: spinal tap proved dx
CDC Split Type:

Write-up: pt was diagnosed with Guillian Barre syndrome 06/22/2021

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166