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This is VAERS ID 35964

Case Details

VAERS ID: 35964 (history)  
Form: Version 1.0  
Age: 69.0  
Sex: Male  
Location: Illinois  
   Days after vaccination:5
Submitted: 1990-10-18
   Days after onset:5
Entered: 1991-11-01
   Days after submission:379
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Hypokinesia
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (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, 13 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Synthroid, Humulin-NPH reg Insulin, Nitrodur, Lasix
Current Illness: Insulin dependent diabetic, renal failur
Preexisting Conditions: diabetic dependent on insulin, chronic renal failure, CHF, NKA;
Diagnostic Lab Data: EMG-finding compatable w/diffuse neurogenic process w/inflammatory neuropathy; pt refused sp tap;
CDC Split Type:

Write-up: 5 days p/flu shot pt noted weakness of lower extremities progressed to inability to walk & weakness in upper extremities;

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