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From the 1/7/2022 release of VAERS data:

This is VAERS ID 202812

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Case Details

VAERS ID: 202812 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Female  
Location: Kansas  
Vaccinated:2002-11-01
Onset:0000-00-00
Submitted: 2003-04-25
Entered: 2003-05-09
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Private       Purchased by: Other
Symptoms: Neuropathy peripheral
SMQs:, Peripheral neuropathy (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:
Other Medications: Unknown medication for urinary infection
Current Illness: Urinary infection
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: (+) EMG diagnosis of peripheral neuropathy
CDC Split Type:

Write-up: Peripheral neuropathy documented by EMG with symptomatic onset 7-14 days after 2000 flu vaccine and worsened 7-14 days after 2002 flu and pneumococcal vaccine (1 wk after urinary infection)$g. The 60 day follow up received on 8/11/03 states mild length-dependent primarily axonal peripheral neuropathy.


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