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From the 10/8/2021 release of VAERS data:

This is VAERS ID 30202



Case Details

VAERS ID: 30202 (history)  
Form: Version 1.0  
Age: 41.0  
Sex: Male  
Location: Utah  
Vaccinated:1990-10-30
Onset:1990-11-02
   Days after vaccination:3
Submitted: 1990-11-30
   Days after onset:28
Entered: 1991-04-29
   Days after submission:149
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (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: NONE~ ()~~~In patient
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC Split Type: UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


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