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This is VAERS ID 41594

Case Details

VAERS ID: 41594 (history)  
Form: Version 1.0  
Age: 67.0  
Sex: Female  
Location: Oregon  
Vaccinated:1991-11-21
Onset:1991-12-01
   Days after vaccination:10
Submitted: 1992-04-22
   Days after onset:142
Entered: 1992-04-29
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: GBS-plasmapharesis;


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