I wrote a small VBA procedure to test uploading and downloading of files as binary data into and out of a VarBinary column in SQL Server using ADO. The upload process appears to work, but I cannot get the download process to work.
I believe the output parameter for VarBinary is setup incorrectly, but I cannot find any documentation on how to do it correctly.
I get run-time error 3708 "Parameter object is improperly defined. Inconsistent or incomplete information was provided." at line .Parameters.Append .CreateParameter("@myblob", adVarBinary, adParamOutput) 
Update: SELECT ? = myblob FROM bin_table WHERE ID = ?; appears to be returning a binary string, not a binary array. I believe this is where the problem lies, but I still don't know how to fix it.
Update: I fixed the compile error "Type mismatch: array or user-defined type expected" by adding adding .Value to the end of the line WriteFile "C:\some_new_file.pdf", .Parameters("@myblob").
Any help is greatly appreciated. Thanks!
Private Sub TestReadWriteBlob()
    Dim objConnection As New ADODB.Connection
    Dim objCommand As New ADODB.Command
    Dim objRecordset As New ADODB.Recordset
    Dim intNewID As Integer
    With objConnection
        .CursorLocation = adUseClient
        .ConnectionString = "PROVIDER=SQLOLEDB;Server=<server>;Database=<database>;UID=<uid>;PWD=<pwd>;trusted_connection=false;"
        .Open
    End With
    With objCommand
        .ActiveConnection = objConnection
        .CommandText = "INSERT INTO bin_table ( myblob ) VALUES ( ? ); SELECT ? = id FROM bin_table WHERE ID = @@IDENTITY;"
        .CommandType = adCmdText
        .Parameters.Append .CreateParameter("@myblob", adVarBinary, adParamInput, -1, ReadFile("C:\some_file.pdf"))
        .Parameters.Append .CreateParameter("@NewID", adInteger, adParamOutput)
        .Execute
        intNewID = .Parameters("@NewID")
    End With
    Debug.Print intNewID
    Set objCommand = Nothing
    With objCommand
        .ActiveConnection = objConnection
        .CommandText = "SELECT ? = myblob FROM bin_table WHERE ID = ?;"
        .CommandType = adCmdText
        .Parameters.Append .CreateParameter("@myblob", adVarBinary, adParamOutput)
        .Parameters.Append .CreateParameter("@NewID", adInteger, adParamInput, , intNewID)
        .Execute
        WriteFile "C:\some_new_file.pdf", .Parameters("@myblob").Value
    End With
End Sub
Public Function ReadFile(ByVal strPath As String) As Byte()
    Dim intFile As Integer
    intFile = FreeFile
    Open strPath For Binary Access Read As intFile
    ReDim ReadFile(LOF(intFile) - 1)
    Get intFile, , ReadFile
    Close intFile
End Function
Public Sub WriteFile(ByVal strPath As String, bytBlob() As Byte, Optional ByVal Overwrite As Boolean = True)
    Dim intFile As Integer
    intFile = FreeFile
    If Overwrite And Dir(strPath) <> "" Then
        Kill strPath
    End If
    Open strPath For Binary Access Write As intFile
    Put intFile, , bytBlob
    Close intFile
End Sub