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From the 2/18/2021 release of VAERS data:

This is VAERS ID 77516

Case Details

VAERS ID: 77516 (history)  
Form: Version 1.0  
Age: 65.0  
Sex: Female  
Location: Hawaii  
Vaccinated:1995-06-05
Onset:1995-07-18
   Days after vaccination:43
Submitted: 1995-09-15
   Days after onset:59
Entered: 1995-09-19
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. K0227 / UNK - / SC
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0536A / UNK - / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 51371053 / UNK - / IM
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK MO / PO

Administered by: Military       Purchased by: Military
Symptoms: CSF test abnormal, Guillain-Barre syndrome, Hypokinesia, Hypotonia, Laryngospasm, Movement disorder
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 55 days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: bipolar disorder
Allergies:
Diagnostic Lab Data: CSF protein 90%, no cells
CDC Split Type:

Write-up: 20JUL devel acute severe GBS; presently on ventilator day 55, no motor activity; in hosp 21JUL to present;


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