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This is VAERS ID 25862

Case Details

VAERS ID: 25862 (history)  
Form: Version 1.0  
Age: 91.0  
Sex: Female  
Location: Georgia  
Vaccinated:1990-02-06
Onset:1990-02-25
   Days after vaccination:19
Submitted: 1990-09-04
   Days after onset:190
Entered: 1990-09-07
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 9F01201C / UNK - / A

Administered by: Private       Purchased by: Private
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome
SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (narrow), Demyelination (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hydrochlorothiazide 25 daily, Corgard 40 daily
Current Illness: Hypertension, ischemic heart disease
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Influenza experienced weakness of the lower extremities with aching progressing to the trunk and upper extremities - GBS. Pt hospitalized transferred to EUH for plasma exchange.


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