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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), 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? 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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