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This is VAERS ID 48167

Case Details

VAERS ID: 48167 (history)  
Form: Version 1.0  
Age: 62.0  
Sex: Male  
Location: Florida  
Vaccinated:1992-10-20
Onset:1992-10-24
   Days after vaccination:4
Submitted: 1992-11-17
   Days after onset:24
Entered: 1992-12-17
   Days after submission:30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00192P / 3 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC Split Type: FL92076

Write-up: Guillain Barre syndrome;


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