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From the 4/30/2021 release of VAERS data:

This is VAERS ID 108666



Case Details

VAERS ID: 108666 (history)  
Form: Version 1.0  
Age: 50.0  
Sex: Male  
Location: Montana  
Vaccinated:1997-10-03
Onset:1997-10-05
   Days after vaccination:2
Submitted: 1998-03-14
   Days after onset:160
Entered: 1998-03-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public       Purchased by: Private
Symptoms: Hypokinesia, Neuropathy, Paraesthesia, Paralysis, Vasculitis
SMQs:, Peripheral neuropathy (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vasculitis (narrow), Hypotonic-hyporesponsive episode (broad), Immune-mediated/autoimmune disorders (narrow)

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: NONE~ ()~~~In patient
Other Medications: Vasotec;Triamterene
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 9MAR98 MRI;12MAR98 nerve biopsy;peripheal neuropathe;paraneal palsy;vasculitis;
CDC Split Type:

Write-up: pt recv vax 3OCT97 & 5OCT97 numbness rt foot;13OCT97 saw MD tested for diabetes negative;14NOV97 rt ankle stopped working;7JAN98 myelogram & CAT dx peripheral neuropathy, perineal palsy;12FEB98 ?dx vasculitis;


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