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This is VAERS ID 970714

History of Changes from the VAERS Wayback Machine

First Appeared on 1/29/2021

VAERS ID: 970714
VAERS Form:2
Age:41.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-01-09
Onset:2021-01-14
Submitted:0000-00-00
Entered:2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture abnormal, Pain in extremity, Paraesthesia, Blood test abnormal, Magnetic resonance imaging abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     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.


Changed on 5/7/2021

VAERS ID: 970714 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-01-09
Onset:2021-01-14
Submitted:0000-00-00
Entered:2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture abnormal, Pain in extremity, Paraesthesia, Blood test abnormal, Magnetic resonance imaging abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     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. 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=970714&WAYBACKHISTORY=ON


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