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From the 5/14/2021 release of VAERS data (an older release, current is 7/16/2021):

This is VAERS ID 1258461



Case Details

VAERS ID: 1258461 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-12
Onset:2021-04-21
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Central nervous system lesion, Demyelination, Immunoglobulin therapy, Magnetic resonance imaging head abnormal, Myelitis transverse, Spinal cord injury
SMQs:, Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Optic nerve disorders (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI showing new demyelinating lesions in spinal cord and brain
CDC Split Type:

Write-up: Transverse Myelitis - being treated with steroids and IVIg


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210514&IDNUMBER=1258461


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