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From the 9/10/2021 release of VAERS data:

This is VAERS ID 80078



Case Details

VAERS ID: 80078 (history)  
Form: Version 1.0  
Age: 25.0  
Sex: Male  
Location: Washington  
Vaccinated:1995-10-09
Onset:1995-10-17
   Days after vaccination:8
Submitted: 1995-11-03
   Days after onset:17
Entered: 1995-12-15
   Days after submission:42
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958126 / UNK LA / IM

Administered by: Other       Purchased by: Other
Symptoms: CSF test abnormal, Immune system disorder, Infection, Myasthenic syndrome, Myelitis, Neuropathy, Paraesthesia, Paralysis
SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: WBC''s in CSF;
CDC Split Type: WA951190

Write-up: pt recvd vax;HA,stiff neck,n;aseptic meningitis suspected;lower extremity weakness,urinary incontinence to severe paresis,numbness mid-chest;unable to move legs;weakness upper extremities;dx post infectious immune;myelopathy/radioculopathy;


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