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This is VAERS ID 26302

Case Details

VAERS ID: 26302 (history)  
Form: Version 1.0  
Age: 62.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:1990-08-21
Onset:1990-09-01
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 1990-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public       Purchased by: Unknown
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Bentyl, Zantac, Tylenol, Maalox, Centrium Vitamins
Current Illness:
Preexisting Conditions: Plasmapheresis
Allergies:
Diagnostic Lab Data: CSF Protein 104
CDC Split Type:

Write-up: Pt vaccinated with Influenza Vaccine development of Guillain Barre Synd had influenza vaccine on 21AUG90.


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