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This is VAERS ID 43061

Case Details

VAERS ID: 43061 (history)  
Form: Version 1.0  
Age: 84.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:1991-11-04
Submitted: 0000-00-00
Entered: 1992-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Condition aggravated, Hypokinesia, Pain
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (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:
Current Illness:
Preexisting Conditions: MD eval w/radiograph of the hips disclosed; no alternative explanation;
Allergies:
Diagnostic Lab Data: weakness was continues to be symmetric;
CDC Split Type:

Write-up: aching through abdomen, crampy in nature, followed by/or ocncurrent w/pain in both hips, weakness began w/pain & ocntinued thereafter; inability to get up & down as well since indicative of persistence of weakness; sciatica 2 wks later;


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