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This is VAERS ID 966195

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/29/2021

VAERS ID: 966195
VAERS Form:2
Age:21.0
Sex:Male
Location:Virginia
Vaccinated:2020-12-21
Onset:2021-01-18
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Electromyogram abnormal, Gait inability, Guillain-Barre syndrome, Lumbar spinal stenosis, Muscular weakness, Sensory disturbance, Intervertebral disc protrusion, Intervertebral disc degeneration, Acute motor-sensory axonal neuropathy, Magnetic resonance imaging spinal abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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)
Allergies:
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.


Changed on 5/7/2021

VAERS ID: 966195 Before After
VAERS Form:2
Age:21.0
Sex:Male
Location:Virginia
Vaccinated:2020-12-21
Onset:2021-01-18
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Electromyogram abnormal, Gait inability, Guillain-Barre syndrome, Lumbar spinal stenosis, Muscular weakness, Sensory disturbance, Intervertebral disc protrusion, Intervertebral disc degeneration, Acute motor-sensory axonal neuropathy, Magnetic resonance imaging spinal abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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)
Allergies:
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.


Changed on 5/14/2021

VAERS ID: 966195 Before After
VAERS Form:2
Age:21.0
Sex:Male
Location:Virginia
Vaccinated:2020-12-21
Onset:2021-01-18
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Electromyogram abnormal, Gait inability, Guillain-Barre syndrome, Lumbar spinal stenosis, Muscular weakness, Sensory disturbance, Intervertebral disc protrusion, Intervertebral disc degeneration, Acute motor-sensory axonal neuropathy, Magnetic resonance imaging spinal abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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)
Allergies:
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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