National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 59702

Case Details

VAERS ID: 59702 (history)  
Form: Version 1.0  
Age: 25.0  
Sex: Female  
Location: California  
Vaccinated:1993-10-08
Onset:1993-10-10
   Days after vaccination:2
Submitted: 1993-11-12
   Days after onset:33
Entered: 1994-02-07
   Days after submission:87
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH E2243GC / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: CSF test abnormal, Guillain-Barre syndrome, Malaise
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)

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: NA~ ()~~0.00~Patient
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC Split Type: 9400123

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=59702


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166