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This is VAERS ID 38091

Case Details

VAERS ID: 38091 (history)  
Form: Version 1.0  
Age: 35.0  
Sex: Male  
Location: Florida  
Submitted: 1991-11-26
Entered: 1991-12-23
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Influenza, Paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Diagnostic Lab Data:
CDC Split Type: 891344001H

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;

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