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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)

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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