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From the 4/23/2021 release of VAERS data (an older release, current is 7/16/2021):

This is VAERS ID 1233655



Case Details

VAERS ID: 1233655 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-03-31
Onset:2021-04-11
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Vitamin B12 decreased
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: cefadroxil
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient is a medical doctor. . patient reports at 10pm April 11, 2021 , he was reaching into a closet when his entire right side fell asleep/was numb. He reports that sitting temporarily help relieve symptoms, however when he stood, symptoms returned. patient sought care at ER. His BP was 183/110. However, nothing was found to be wrong except B-12 level was low. Patient reports that symptoms lasted 45 minutes.


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