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This is VAERS ID 966435

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 966435
VAERS Form:2
Age:40.0
Sex:Male
Location:Minnesota
Vaccinated:2021-01-09
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK4176 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lumbar puncture 1/21/21.
CDC 'Split Type':

Write-up: Reports he has been diagnosed with Guillain Barre syndrome. Symptoms started with 2 fingers tingling 1/11/21. Progressively increasing in severity. Now has numb fingers and toes. Initiating IV therapy 1/22/21.


Changed on 5/7/2021

VAERS ID: 966435 Before After
VAERS Form:2
Age:40.0
Sex:Male
Location:Minnesota
Vaccinated:2021-01-09
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK4176 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lumbar puncture 1/21/21.
CDC 'Split Type':

Write-up: Reports he has been diagnosed with Guillain Barre syndrome. Symptoms started with 2 fingers tingling 1/11/21. Progressively increasing in severity. Now has numb fingers and toes. Initiating IV therapy 1/22/21.


Changed on 5/14/2021

VAERS ID: 966435 Before After
VAERS Form:2
Age:40.0
Sex:Male
Location:Minnesota
Vaccinated:2021-01-09
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK4176 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lumbar puncture 1/21/21.
CDC 'Split Type':

Write-up: Reports he has been diagnosed with Guillain Barre syndrome. Symptoms started with 2 fingers tingling 1/11/21. Progressively increasing in severity. Now has numb fingers and toes. Initiating IV therapy 1/22/21.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=966435&WAYBACKHISTORY=ON


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