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

This is VAERS ID 89892



Case Details

VAERS ID: 89892 (history)  
Form: Version 1.0  
Age: 52.0  
Sex: Female  
Location: Michigan  
Vaccinated:1995-11-14
Onset:1996-02-06
   Days after vaccination:84
Submitted: 1996-06-14
   Days after onset:128
Entered: 1996-09-16
   Days after submission:94
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 3 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), 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? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=89892


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