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

This is VAERS ID 87554

Case Details

VAERS ID: 87554 (history)  
Form: Version 1.0  
Age: 35.0  
Sex: Male  
Location: New Jersey  
   Days after vaccination:31
Submitted: 1996-07-03
   Days after onset:32
Entered: 1996-07-05
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Dementia (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Optic nerve disorders (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Ocular infections (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC Split Type: WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;

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