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From the 4/8/2021 release of VAERS data:

This is VAERS ID 60715



Case Details

VAERS ID: 60715 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Male  
Location: Virginia  
Vaccinated:1993-10-08
Onset:1993-11-04
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 1994-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938167 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, CSF test abnormal, Guillain-Barre syndrome, Pain
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: HCTZ
Current Illness:
Preexisting Conditions: large cell lymphoma of abdo; dx SEP93 treated w/ 3 cycles of meds; ASCVD, MI
Allergies:
Diagnostic Lab Data: CSF protein inc @ 155;
CDC Split Type:

Write-up: Pt exp GBS secondary to flu vax given 8OCT93; since the vax pt had exp 2-3 wks of upper body discomfort & weakness;


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