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From the 5/7/2021 release of VAERS data:

This is VAERS ID 970714

Case Details

VAERS ID: 970714 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Pennsylvania  
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Blood test abnormal, Burning sensation, Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture abnormal, Magnetic resonance imaging abnormal, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Tendinopathies and ligament disorders (broad), 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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Gabapentin, Lomictal, Clonipin, Protonix, Vraylar, Seroquel, Metoprolol, Hydralazine.
Current Illness: None.
Preexisting Conditions: Bipolar disorder, reflux, asthma, high blood pressure.
Allergies: Hydrochlorathiazide, clindomycin, Sulfa, Tegratol, IV contrast, Chlorahexidine.
Diagnostic Lab Data: MRI, lumbar puncture and blood work done. Diagnosed with Guillian Barre.
CDC Split Type:

Write-up: On 1/15/21, I had numbness and tingling, pain and burning in extremities. Went to the ER, had MRI, had lumbar puncture, symptoms assessed, blood work and diagnosed with Guillian Barre.

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