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This is VAERS ID 26281

Case Details

VAERS ID: 26281 (history)  
Form: Version 1.0  
Age: 79.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1990-10-04
Onset:1990-10-06
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Gait disturbance, Guillain-Barre syndrome, Myasthenic syndrome, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hypoglycaemia (broad)

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: Theodur; Allopurinol; Hydrocholorthiazide
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EKG RBBB & Lafb; NA + 139, K 3.1, MGH 1.7, TH 09.2, BUN, Creat, GLC WNL ER 8 WBC 9.3 HIH 15.5/46.6 PLT 296
CDC Split Type:

Write-up: Pt vaccinated with Influenza Vaccine developed Guillian Barres Synd progressive numbness & tingling both legs & hands weakness. Unsteady gait.


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