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This is VAERS ID 39778

Case Details

VAERS ID: 39778 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:1991-01-26
Onset:1991-02-01
   Days after vaccination:6
Submitted: 1992-02-10
   Days after onset:374
Entered: 1992-03-04
   Days after submission:23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Guillain-Barre syndrome, Influenza
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow)

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 892045001L

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;


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