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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), Immune-mediated/autoimmune disorders (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;


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