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From the 12/8/2009 release of VAERS data (an older release, current is 10/8/2021):

This is VAERS ID 102708



Case Details

VAERS ID: 102708 (history)  
Form: Version .0  
Age: 40.5  
Sex: Female  
Location: Colorado  
Vaccinated:1996-10-01
Onset:1996-11-02
   Days after vaccination:32
Submitted: 1997-09-24
   Days after onset:325
Entered: 1997-09-26
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 9 A / -

Administered by: Private       Purchased by: Private
Symptoms: Arthritis, Neuropathy
SMQs:, Peripheral neuropathy (narrow), Systemic lupus erythematosus (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC Split Type:

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=102708

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