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This is VAERS ID 58025

Case Details

VAERS ID: 58025 (history)  
Form: Version 1.0  
Age: 52.0  
Sex: Female  
Location: Michigan  
Vaccinated:1991-12-05
Onset:1992-01-05
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 1993-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 1 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Guillain-Barre syndrome, Hypertension, Muscle spasms, Myalgia, Neuropathy, Respiratory disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Demyelination (narrow), Eosinophilic pneumonia (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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? Yes, 13 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: THyroid, Premarin, Provera, Synthroid, multivitamins, MVI;
Current Illness:
Preexisting Conditions: Menopause, hypothyroidism; all-PCN, Emycin, codiene;
Allergies:
Diagnostic Lab Data: CBC, Thyroid, heavy metal poison; MRI-brain, EMG-neck;
CDC Split Type:

Write-up: cramping, sore calves x 2 wk; falls on steps, flat surfaces, dropping anything trying to carry; unable to get up when fall; affected even hair brushing, unable to open doors, dress self, fix meals; dx GBS-CIDP;


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