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From the 3/26/2021 release of VAERS data (an older release, current is 11/26/2021):

This is VAERS ID 1133722

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Case Details

VAERS ID: 1133722 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-03-13
Onset:2021-03-19
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Areflexia, CSF glucose normal, CSF protein increased, CSF red blood cell count, CSF white blood cell count increased, Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), 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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NAC, Rehmannia 6 supplements and Maca root supplements.
Current Illness: none known
Preexisting Conditions: none known
Allergies: none known
Diagnostic Lab Data: Lumbar puncture (3/23): CSF labs: 3/23/2021: Glucose, CSF 60 mg/dL; Protein,Total, CSF 74.0 mg/dL; Red Blood Count, CSF 21,000 /cu mm; Red Blood Count, CSF 1,000 /cu mm; White Blood Count, CSF 39 /cu mm; White Blood Count, CSF 6 /cu mm
CDC Split Type:

Write-up: Beginning on 3/19 he developed a progressive ascending numbness first in his toes, then progressing to include bilateral legs up to knees and bilateral arms up to mid forearm. He also had mild leg weakness bilaterally. He has absent reflexes. His lumbar puncture showed albuminocytologic dissociation. He was diagnosed with Guillan-Barre syndrome and is being treated with IVIG.


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