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From the 11/12/2021 release of VAERS data:

This is VAERS ID 1478296

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Case Details

VAERS ID: 1478296 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Texas  
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal distension, Abdominal pain, Angiogram, CSF protein increased, Discomfort, Dyskinesia, Eyelid function disorder, Facial paralysis, Facial paresis, Flatulence, Gastrointestinal motility disorder, Guillain-Barre syndrome, Immunoglobulin therapy, Lumbar puncture abnormal, Magnetic resonance imaging head normal, Muscular weakness, Pain, Pain in extremity, Scan with contrast
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Dyskinesia (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific dysfunction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Demyelination (narrow), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Noninfectious diarrhoea (broad), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metformin, Glipizide, Atorvastatin, Lisinopril
Current Illness: none
Preexisting Conditions: High blood pressure, High Cholesterol, Type II diabetes
Allergies: none
Diagnostic Lab Data: MRI, MRA and MRI with Contrast - Test date were approx. 5-1-2021 to 5-9-2021 Spinal Tap - Test date were approx. 5-1-2021 to 5-9-2021
CDC Split Type:

Write-up: On March 24 I began experiencing severe pain in my right arm. The er thought it might have been a pinched nerve or something along those line. March 28, noticed a lack of muscle control on the right side of my lips while drinking from a straw. This time I was admitted as a possible stroke. Two different MRI sessions revealed no stroke. They performed a lumbar puncture and discovered that I had extremely high protein levels. After having been admitted, for the next couple of days my face slowly lost the ability to close my eyes fully and a complete lack of control of my lips (total paralysis on my face). I also began to experience bouts of stabbing pain throughout my body and weakness in my limbs. After the after th

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