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This is VAERS ID 32164

Case Details

VAERS ID: 32164 (history)  
Form: Version 1.0  
Age: 46.0  
Sex: Male  
Location: Utah  
Vaccinated:1990-04-01
Onset:1990-04-01
   Days after vaccination:0
Submitted: 1991-06-05
   Days after onset:429
Entered: 1991-07-03
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4908007 / UNK - / IM

Administered by: Private       Purchased by: Other
Symptoms: Asthenia, Hypoaesthesia, Injection site oedema, Injection site pain, Neuritis, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: MRI performed soon after immun showed dessicated disc @ C56- & C6-7
Allergies:
Diagnostic Lab Data: Nerve cirduction test showed no abnormalities of the Ulnar nerve, ME6 showed denervation involving C8 & T1 nerve roots;
CDC Split Type: 891123002B

Write-up: Pt exp swelling w/pain @ inject site p/recvd Td; Also devel numb, painful tingling sensation involving lt arm, chest, shoulder, neck, elbow & forearm; Diffuse weakness of lt upper extremity & sensory loss C8; poss brachial plexus neuritis;


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