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From the 7/16/2021 release of VAERS data:

This is VAERS ID 69995



Case Details

VAERS ID: 69995 (history)  
Form: Version 1.0  
Age: 67.0  
Sex: Female  
Location: Arizona  
Vaccinated:1994-10-17
Onset:1994-10-18
   Days after vaccination:1
Submitted: 1994-12-08
   Days after onset:51
Entered: 1995-01-03
   Days after submission:26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

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

Life Threatening? Yes
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:
Current Illness:
Preexisting Conditions: asthma, lupus
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax; pt''s daughter reported, pt adm to hosp 1 wk later w/ dx of GBS;


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