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From the 1/15/2021 release of VAERS data:

This is VAERS ID 92401

Case Details

VAERS ID: 92401 (history)  
Form: Version 1.0  
Age: 43.0  
Sex: Female  
Location: South Carolina  
Vaccinated:1996-11-14
Onset:1996-11-15
   Days after vaccination:1
Submitted: 1996-11-21
   Days after onset:6
Entered: 1996-11-26
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Noninfectious diarrhoea (broad), Immune-mediated/autoimmune disorders (broad)

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, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC Split Type:

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=92401


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