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

This is VAERS ID 966195

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Case Details

VAERS ID: 966195 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Virginia  
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Acute motor-sensory axonal neuropathy, Electromyogram abnormal, Gait inability, Guillain-Barre syndrome, Intervertebral disc degeneration, Intervertebral disc protrusion, Lumbar spinal stenosis, Magnetic resonance imaging spinal abnormal, Muscular weakness, Sensory disturbance
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: History of neonatal stroke with VP shunt (valve replaced 2020)
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient admitted to hospital for progressive bilateral lower extremity weakness, sensory changes and inability to ambulate. Neuroimaging with significant degenerative disc disease with disc protrusions throughout the lumbar spine, greatest L3-L4, and with severe central stenosis. Question of radiculopathy vs peripheral neuropathy at admission, but no acute findings such as cauda equina syndrome. EMG consistent with atypical variant of GBS--acute motor sensory axonal neuropathy.

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