Adverse Event Reporting

VAERS ID 926703
Gender Male
Age 35
StateCode OK
Pharmaceutical Company MODERNA
Lot Number 025J202A
Number of vaccinations 1
Vaccinated 2020-12-29
Onset 2020-12-29
Condition Hospitalized Life Threatening Permanent Disability
  • Paraesthesia
  • Blood test
  • Magnetic resonance imaging
  • Neuralgia
  • Neurological examination
  • Immunoglobulin therapy
  • Guillain-Barre syndrome

Current Illness


Preexisting Conditions

Bradycardia at rest. History of Guillain Barre Syndrome/AIDP in 2010.

Other Medications


Previous Vaccinations



Laboratory Data

MRI and bloodwork, neuro screening and tests.


Guillain Barre syndrome/AIDP event.
Paresthesia and nerve pain developed in bilateral legs 4 hours after shot and progressed slowly for 4 days in intensity and area involved.
Symptoms progressed distally to superior.
On the 5th day symptoms progressed rapidly and involved bilateral legs up to the groin, left arm up to lateral shoulder, and right hand.
I went to the hospital and was admitted to start IVIG treatment for Guillain Barre Syndrome/AIDP.