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

This is VAERS ID 83619



Case Details

VAERS ID: 83619 (history)  
Form: Version 1.0  
Age: 39.0  
Sex: Female  
Location: Minnesota  
Vaccinated:1995-10-18
Onset:1995-10-18
   Days after vaccination:0
Submitted: 1996-03-04
   Days after onset:138
Entered: 1996-03-12
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61123 / 1 LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 1541A / 1 LA / -

Administered by: Private       Purchased by: Other
Symptoms: Convulsion, Ear pain, Gait disturbance, Myasthenic syndrome, Paraesthesia, Paraesthesia oral, Speech disorder, Visual disturbance
SMQs:, Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Malignancy related conditions (narrow), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

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: NA
Current Illness: NONE
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data: blood tests, MRI, spinal tap etc
CDC Split Type:

Write-up: 7 1/2 hrs p/vax numbness in lips on lt side;progressed to numbness & tingling in entire lt side of body;pain in lt ear,weakness on entire lt side;effected vision on lt side;2 sz,effected speech & walking ability,muscle control


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