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This is VAERS ID 65092

Case Details

VAERS ID: 65092 (history)  
Form: Version 1.0  
Age: 52.0  
Sex: Female  
Location: Unknown  
Vaccinated:1989-12-01
Onset:1989-12-23
   Days after vaccination:22
Submitted: 1993-06-02
   Days after onset:1256
Entered: 1994-05-25
   Days after submission:357
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis
SMQs:, Hepatitis, non-infectious (narrow), Haematopoietic erythropenia (broad), Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: ~ ()~~~In patient
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC Split Type: 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


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