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This is VAERS ID 58371

Case Details

VAERS ID: 58371 (history)  
Form: Version 1.0  
Age: 61.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:1993-11-04
Submitted: 1993-12-15
   Days after onset:41
Entered: 1993-12-22
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Angiopathy, Blindness, Neuropathy
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (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, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no allergies;
Allergies:
Diagnostic Lab Data: 11NOV MRI brain & optic nerves neg; 2 LP; 12NOV bilateral temporal artery biopsy neg; ESR neg, ANA neg, anticardiolipils; leber''s maker neg; lupus anticoagulent neg;
CDC Split Type:

Write-up: progressive bilateral visual loss 3-4 wks following vax; exam consistent w/bilateral anterior ischemic optic neuropathy;


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