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From the 1/7/2021 release of VAERS data:

This is VAERS ID 27094

Case Details

VAERS ID: 27094 (history)  
Form: Version 1.0  
Age: 64.0  
Sex: Female  
Location: Oregon  
Vaccinated:1990-10-25
Onset:1990-11-29
   Days after vaccination:35
Submitted: 1990-12-17
   Days after onset:18
Entered: 1990-12-18
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908191 / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Chills, Diarrhoea, Guillain-Barre syndrome, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Demyelination (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prednisone?
Current Illness:
Preexisting Conditions: allergy to Septra, Hypertension
Allergies:
Diagnostic Lab Data: Nerve conduction studies suggestive of atypical Guillain Barre, CSF protein normal on 30Nov & 2Dec
CDC Split Type:

Write-up: Guillain Barre Synd onset of weakness on 29Nov90, had illness /w vomiting diarrhea, chills & fever /w onset of 19Nov90 & lasting about 2-3 days


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27094


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