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This is VAERS ID 102776

Case Details

VAERS ID: 102776 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Female  
Location: Colorado  
Vaccinated:1993-10-01
Onset:1994-02-01
   Days after vaccination:123
Submitted: 1997-09-09
   Days after onset:1315
Entered: 1997-09-29
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private       Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia
SMQs:, Peripheral neuropathy (narrow), Taste and smell disorders (narrow), Guillain-Barre syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC Split Type: 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


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