National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 966828

History of Changes from the VAERS Wayback Machine

First Appeared on 1/29/2021

VAERS ID: 966828
VAERS Form:2
Age:31.0
Sex:Female
Location:California
Vaccinated:2021-01-16
Onset:2021-01-20
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Electromyogram normal, Guillain-Barre syndrome, Acute motor-sensory axonal neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: trazodone qhs prn
Current Illness: none
Preexisting Conditions: none
Allergies: nkda
Diagnostic Lab Data: EMG - normal - but expected to be so early on
CDC 'Split Type':

Write-up: Acute sensory-motor neuropathy symptoms. Appears consistent with a mild Gullian Barre Syndrome


Changed on 5/7/2021

VAERS ID: 966828 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:California
Vaccinated:2021-01-16
Onset:2021-01-20
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Electromyogram normal, Guillain-Barre syndrome, Acute motor-sensory axonal neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: trazodone qhs prn
Current Illness: none
Preexisting Conditions: none
Allergies: nkda nkda
Diagnostic Lab Data: EMG - normal - but expected to be so early on
CDC 'Split Type':

Write-up: Acute sensory-motor neuropathy symptoms. Appears consistent with a mild Gullian Barre Syndrome

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=966828&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166