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This is VAERS ID 99365

Case Details

VAERS ID: 99365 (history)  
Form: Version 1.0  
Age: 72.0  
Sex: Female  
Location: Georgia  
Vaccinated:1996-11-02
Onset:1996-11-19
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 1997-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Hyperchloraemia, Hyperglycaemia, Hypoxia, Laboratory test abnormal, Quadriplegia
SMQs:, Asthma/bronchospasm (broad), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Tubulointerstitial diseases (broad), Respiratory failure (broad), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: upper resp sx 3wk prior to admission;
Preexisting Conditions: PMH x/hysterectomy 50yrs PTA;
Allergies:
Diagnostic Lab Data: CBC WNL; 9.3/39.1;13.5;321; 138/3.7/108/23.4/6/0.7;139;
CDC Split Type:

Write-up: pt recv vax & became weaker during the day,upon admission was markedly quadraparetic;could move head & speaks w/diff;CBC WNL;adm w/GBS;intubated on ventilator;tracheostomy performed 24NOV96;


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