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

This is VAERS ID 206717

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Case Details

VAERS ID: 206717 (history)  
Form: Version 1.0  
Age: 70.0  
Sex: Male  
Location: Maine  
Vaccinated:1991-11-02
Onset:1991-11-15
   Days after vaccination:13
Submitted: 2003-07-24
   Days after onset:4268
Entered: 2003-07-29
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public       Purchased by: Public
Symptoms: Congenital anomaly, Hypertonia, Paralysis, Polyneuropathy, Urinary incontinence
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Congenital, familial and genetic disorders (narrow), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypokalaemia (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: Kerlon; Baby aspirin
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Awoke 13th day after flu shot paralyzed from waist down. Never recovered. In wheelchair; perfectly healthy before this. In 11/91 13 days after a flu shot, I awoke paralyzed from the waist down. Went to our doctor then to hospital ER. Called it acute ideopathic polyneuropathy fter x-rays and cat scan. Finally went to the hospital and then to another clinic where they thought it was GBS. Later transverse myelitis. From there to nursing home where I''ve been in a wheelchair ever since. Completely paralyzed from waist down with incontinence. The hospital discharge summary received on 1/2/04 states congenital malformation, spasticity, and neurogenic bladder.


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