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This is VAERS ID 43970

Case Details

VAERS ID: 43970 (history)  
Form: Version 1.0  
Age: 78.0  
Sex: Female  
Location: North Carolina  
Vaccinated:1990-10-11
Onset:1990-11-15
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 1992-08-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / 2 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome
SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-03-16
   Days after onset: 121
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: many, including LP, EMG;
CDC Split Type:

Write-up: progressive LE weakness, GBS;


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