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This is VAERS ID 57886

Case Details

VAERS ID: 57886 (history)  
Form: Version 1.0  
Age: 51.0  
Sex: Female  
Location: Unknown  
Vaccinated:1993-10-26
Onset:1993-11-09
   Days after vaccination:14
Submitted: 1993-11-14
   Days after onset:5
Entered: 1993-12-08
   Days after submission:24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Quadriplegia
SMQs:, Peripheral neuropathy (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (narrow), 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? 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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC Split Type:

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;


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