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From the 4/8/2021 release of VAERS data:

This is VAERS ID 133423



Case Details

VAERS ID: 133423 (history)  
Form: Version 1.0  
Age: 67.0  
Sex: Male  
Location: California  
Vaccinated:1997-10-27
Onset:1997-11-27
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2000-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7581819 / 2 - / IM
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0994E / 2 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abasia, Biopsy muscle abnormal, Blood product transfusion, Electromyogram abnormal, Hypokinesia, Muscular weakness, Myasthenic syndrome, Polymyositis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Immuran, Prednisone, Thyroxin
Current Illness: NONE
Preexisting Conditions: hypothyroidism
Allergies:
Diagnostic Lab Data: muscle biopsy-confirming dx, EMG-changes in motor units
CDC Split Type:

Write-up: Extreme muscle weakness, inability to walk, rollover in bed, rise from a chair or bathe unassisted. Rcving. IV-gamma Globulin infusions (8) txmts. Dx with polymyositis. 60 day follow-up dated 10/16/00 states the pt is still suffering from general muscular weakness and ongoing treatment for general weakness with drugs. Follow-up: 02/15/00 - Consent form returned by pt - sent with letter to medical center.


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