From the 12/30/2020 release of VAERS data:

This is VAERS ID 28359

Case Details

VAERS ID:	28359 (history)
Form:	Version 1.0
Age:	47.0
Sex:	Female
Location:	New Jersey

Vaccinated:	1990-10-31
Onset:	1990-12-10
Days after vaccination:	40
Submitted:	1991-02-15
Days after onset:	67
Entered:	1991-02-18
Days after submission:	3

Vaccination / Manufacturer	Lot / Dose	Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH	4908205 / 2	- / A

Administered by: Private Purchased by: Private
Symptoms: Asthenia, Facial palsy, 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 20 days
Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC Split Type:

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28359