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From the 1/14/2022 release of VAERS data:

This is VAERS ID 196026

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Case Details

VAERS ID: 196026 (history)  
Form: Version 1.0  
Age: 59.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2002-10-25
Onset:2002-10-25
   Days after vaccination:0
Submitted: 2003-01-02
   Days after onset:69
Entered: 2003-01-10
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0910AA / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 1 RA / -

Administered by: Private       Purchased by: Private
Symptoms: Hypoaesthesia, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (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:
Other Medications: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC Split Type:

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


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