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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), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow)

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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