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This is VAERS ID 25023

Case Details

VAERS ID: 25023 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Pennsylvania  
Vaccinated:1989-10-23
Onset:1989-12-07
   Days after vaccination:45
Submitted: 0000-00-00
Entered: 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: receiving gold therapy for rhematiod arthritis
Current Illness: URI
Preexisting Conditions: rhematoid arthritis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89


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