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From the 9/14/2018 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 1.0  
Age: 40.0  
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
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ - / A

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

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: ~ ()~~~In patient
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=20180914&IDNUMBER=102708

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