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

This is VAERS ID 27315



Case Details

VAERS ID: 27315 (history)  
Form: Version 1.0  
Age: 65.0  
Sex: Male  
Location: Florida  
Vaccinated:1990-10-02
Onset:1990-10-02
   Days after vaccination:0
Submitted: 1990-12-14
   Days after onset:73
Entered: 1991-01-07
   Days after submission:24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia
SMQs:, Peripheral neuropathy (broad), 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? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


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