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This is VAERS ID 98352

Case Details

VAERS ID: 98352 (history)  
Form: Version 1.0  
Age: 58.0  
Sex: Male  
Location: Minnesota  
Vaccinated:1996-11-12
Onset:1996-11-19
   Days after vaccination:7
Submitted: 1997-05-15
   Days after onset:176
Entered: 1997-05-28
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Private       Purchased by: Other
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Influenza, Myasthenic syndrome, Ophthalmoplegia, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Demyelination (narrow), Hearing impairment (broad), Ocular motility disorders (narrow), Infective pneumonia (broad), Opportunistic infections (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, 24 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC Split Type:

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness


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