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This is VAERS ID 1041319

History of Changes from the VAERS Wayback Machine

First Appeared on 2/26/2021

VAERS ID: 1041319
VAERS Form:2
Age:86.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-02-04
Onset:2021-02-08
Submitted:0000-00-00
Entered:2021-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH DL3246 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Guillain-Barre syndrome, Lumbar puncture, Muscular weakness, Immunoglobulin therapy

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:
Allergies:
Diagnostic Lab Data: 2/11/21 Lumbar Puncture
CDC 'Split Type':

Write-up: 2/8/21 pt noted to have BLE weakness. 2/10/21 pt admitted to Hospital and diagnosed with Guillain-Barre Syndrome. She received 5 days of IVIG treatment. 2/15/21 she was discharged from acute care and admitted to inpatient rehab where she is still admitted at this time.


Changed on 5/7/2021

VAERS ID: 1041319 Before After
VAERS Form:2
Age:86.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-02-04
Onset:2021-02-08
Submitted:0000-00-00
Entered:2021-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH DL3246 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Guillain-Barre syndrome, Lumbar puncture, Muscular weakness, Immunoglobulin therapy

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:
Allergies:
Diagnostic Lab Data: 2/11/21 Lumbar Puncture
CDC 'Split Type':

Write-up: 2/8/21 pt noted to have BLE weakness. 2/10/21 pt admitted to Hospital and diagnosed with Guillain-Barre Syndrome. She received 5 days of IVIG treatment. 2/15/21 she was discharged from acute care and admitted to inpatient rehab where she is still admitted at this time.


Changed on 5/14/2021

VAERS ID: 1041319 Before After
VAERS Form:2
Age:86.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-02-04
Onset:2021-02-08
Submitted:0000-00-00
Entered:2021-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH DL3246 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Guillain-Barre syndrome, Lumbar puncture, Muscular weakness, Immunoglobulin therapy

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:
Allergies:
Diagnostic Lab Data: 2/11/21 Lumbar Puncture
CDC 'Split Type':

Write-up: 2/8/21 pt noted to have BLE weakness. 2/10/21 pt admitted to Hospital and diagnosed with Guillain-Barre Syndrome. She received 5 days of IVIG treatment. 2/15/21 she was discharged from acute care and admitted to inpatient rehab where she is still admitted at this time.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1041319&WAYBACKHISTORY=ON


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