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From the 9/10/2021 release of VAERS data:

This is VAERS ID 27301



Case Details

VAERS ID: 27301 (history)  
Form: Version 1.0  
Age: 70.0  
Sex: Female  
Location: Louisiana  
Vaccinated:1990-11-09
Onset:1990-11-13
   Days after vaccination:4
Submitted: 1990-12-18
   Days after onset:35
Entered: 1991-01-04
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 3 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Hypertonia, Myasthenic syndrome, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypokalaemia (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Procardia
Current Illness:
Preexisting Conditions: Increased BP - Polyps of the colon
Allergies:
Diagnostic Lab Data:
CDC Split Type: LA90129

Write-up: Pt vac with Influenza developed pulling in legs & arms about 4 days after shot. Also experienced weakness & numbness in arms, hands, legs & feet 7 days after shot. Seen by neurologist - no nerve damage, thinks may be caused by flu shot.


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