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This is VAERS ID 27202

Case Details

VAERS ID: 27202 (history)  
Form: Version 1.0  
Age: 49.0  
Sex: Male  
Location: New York  
Vaccinated:1990-09-27
Onset:1990-10-07
   Days after vaccination:10
Submitted: 1990-12-21
   Days after onset:75
Entered: 1990-12-27
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other       Purchased by: Private
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC Split Type:

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"


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