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This is VAERS ID 26712

Case Details

VAERS ID: 26712 (history)  
Form: Version 1.0  
Age: 58.0  
Sex: Female  
Location: Michigan  
Vaccinated:1990-10-16
Onset:1990-10-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Facial palsy
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (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: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.


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