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This is VAERS ID 97986

Case Details

VAERS ID: 97986 (history)  
Form: Version 1.0  
Age: 78.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:1996-06-18
Submitted: 0000-00-00
Entered: 1997-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Inderal, Trutal, Muro, prednic, Betagan, APAP
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: tingling of legs;


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