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This is VAERS ID 58133

Case Details

VAERS ID: 58133 (history)  
Form: Version 1.0  
Age: 54.0  
Sex: Female  
Location: Colorado  
Vaccinated:1993-11-05
Onset:1993-11-15
   Days after vaccination:10
Submitted: 1993-12-08
   Days after onset:23
Entered: 1993-12-13
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / UNK LA / -

Administered by: Other       Purchased by: Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral
SMQs:, Peripheral neuropathy (narrow), Taste and smell disorders (narrow), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC Split Type:

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


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