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

This is VAERS ID 72175

Case Details

VAERS ID: 72175 (history)  
Form: Version 1.0  
Age: 59.0  
Sex: Male  
Location: Florida  
   Days after vaccination:16
Submitted: 1994-12-21
   Days after onset:378
Entered: 1995-02-03
   Days after submission:44
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Encephalitis, Eye pain, Myelitis, Neuropathy, Pyrexia, Urinary tract infection, Visual disturbance
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: Metamucil l tsp in 8 oz of water
Current Illness: unk
Preexisting Conditions: duodenal ulcer and hiatal hernia at age 16, esophagitis with deformed bulb, slightly bulging annulus at L4-5, gastroesophageal reflux , vertigo
Diagnostic Lab Data:
CDC Split Type: 894356006Z

Write-up: pt recvd vax;subsequently devel neurological impairment;

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