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

This is VAERS ID 197342

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Case Details

VAERS ID: 197342 (history)  
Form: Version 1.0  
Age: 75.0  
Sex: Female  
Location: New York  
   Days after vaccination:2
Submitted: 2003-02-05
   Days after onset:122
Entered: 2003-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: Private
Symptoms: Dehydration, Difficulty in walking, Diplopia, Encephalitis, Vertigo
SMQs:, Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Vestibular disorders (narrow), Ocular motility disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow), Immune-mediated/autoimmune disorders (broad)

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? No
Previous Vaccinations: encephalitis~Influenza (Seasonal) (no brand name)~~75.30~In Patient
Other Medications:
Current Illness: none
Preexisting Conditions: thryoid and high cholesterol;Osteoarthritis, degenerative joint disease
Diagnostic Lab Data: She ended up being diagnosed with encephalitis and vertigo.
CDC Split Type:

Write-up: My mother received the flu shot on October 4, 2002 and two days later was having problems walking. This progressed until the end of Dec. when she became sick and dehydrated and had double vision. The 60 day follow up states pt is in intensive care with encephalitis and as of today is not responding well.

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