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From the 9/17/2021 release of VAERS data:

This is VAERS ID 80191



Case Details

VAERS ID: 80191 (history)  
Form: Version 1.0  
Age: 60.0  
Sex: Female  
Location: New York  
Vaccinated:1994-12-09
Onset:1995-01-18
   Days after vaccination:40
Submitted: 1995-12-19
   Days after onset:335
Entered: 1995-12-21
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F5115 / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Amnesia, Depression, Gait disturbance, Guillain-Barre syndrome, Hypokinesia, Hypotonia, Myasthenic syndrome, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dementia (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Depression (excl suicide and self injury) (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 150 days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness: slight cold
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: plasma pheresis; extensive testing, SCANS, EKG''s & MRI
CDC Split Type:

Write-up: pt recvd vax; adm to hosp w/ GBS for 5 mo; difficulty standing, walking,gripping etc...


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=80191


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