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This is VAERS ID 25584

Case Details

VAERS ID: 25584 (history)  
Form: Version 1.0  
Age: 31.0  
Sex: Female  
Location: Florida  
Vaccinated:1990-01-26
Onset:1990-02-20
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898139 / UNK - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Asthenia, Bradycardia, Dizziness, Guillain-Barre syndrome, Hyperhidrosis, Influenza, Neuropathy, Tachycardia
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC Split Type: 894076003A

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


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