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This is VAERS ID 26059

Case Details

VAERS ID: 26059 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:1989-10-31
Onset:1989-11-07
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK RA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Myasthenic syndrome
SMQs:, Malignancy related conditions (narrow), Immune-mediated/autoimmune disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES89120574

Write-up: Pt vaccinated with Pneumovax 23/Influenza lt arm became weak due to brachial plexitis involving C-5.


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