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This is VAERS ID 35646

Case Details

VAERS ID: 35646 (history)  
Form: Version 1.0  
Age: 62.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1991-09-24
Onset:1991-09-24
   Days after vaccination:0
Submitted: 1991-10-01
   Days after onset:7
Entered: 1991-10-21
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312978 / UNK - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Myasthenic syndrome, Myelitis, Neuropathy
SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 30 days
   Extended hospital stay? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: several medical problems-not specified
Allergies:
Diagnostic Lab Data: Cervical Myelogram-WBC 175; MRI-swelling C4-C6;
CDC Split Type: 910183701

Write-up: 62 y/o pt immunized 24SEP91 & w/in 12 hrs post vax, pt exp weakness in the lt arm & leg; Hospitalized on 26SEP; dx w/transverse myelitis; tx w/high dose IV steroids; pt stable, still hospitalized as of 8OCT91;


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