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

This is VAERS ID 212547

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Case Details

VAERS ID: 212547 (history)  
Form: Version 1.0  
Age: 37.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2001-11-07
Onset:2002-04-01
   Days after vaccination:145
Submitted: 2003-11-10
   Days after onset:588
Entered: 2003-11-19
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0696BA / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Hypokinesia, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Demyelination (narrow), Hypotonic-hyporesponsive episode (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG decreased in nerve conduction.
CDC Split Type:

Write-up: Guillain-Barre syndrome with motor and sensory deficit.


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