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

This is VAERS ID 92634



Case Details

VAERS ID: 92634 (history)  
Form: Version 1.0  
Age: 44.0  
Sex: Female  
Location: New York  
Vaccinated:1980-02-01
Onset:1980-03-01
   Days after vaccination:29
Submitted: 1996-12-03
   Days after onset:6121
Entered: 1996-12-09
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 90 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=92634


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