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From the 6/11/2021 release of VAERS data:

This is VAERS ID 78811

Case Details

VAERS ID: 78811 (history)  
Form: Version 1.0  
Age: 39.0  
Sex: Female  
Location: New York  
Submitted: 1995-10-30
Entered: 1995-11-08
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis
SMQs:, Angioedema (broad), Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Arthritis (narrow), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lupus
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system

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