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This is VAERS ID 60236

Case Details

VAERS ID: 60236 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1994-02-03
Entered: 1994-03-03
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Drug dependence, Myelitis, Peroneal nerve palsy
SMQs:, Peripheral neuropathy (broad), Drug abuse and dependence (narrow), Guillain-Barre syndrome (broad), Depression (excl suicide and self injury) (broad), Immune-mediated/autoimmune 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: pt has infect mononucleosis
Allergies:
Diagnostic Lab Data:
CDC Split Type: 894045002J

Write-up: Pt recvd vax & devel transverse myelitis w/lt foot drop; reporter feels this has caused permanent disability;


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