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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)

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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