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From the 12/31/2003 release of VAERS data (an older release, current is 10/8/2021):

This is VAERS ID 105440



Case Details

VAERS ID: 105440 (history)  
Form: Version .0  
Age: 34.8  
Sex: Male  
Location: Florida  
Vaccinated:1997-10-29
Onset:1997-11-04
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 1997-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1997-1998 / CONNAUGHT LABS 306423 / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: PARALYSIS FACIAL
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC Split Type:

Write-up: development of lt facial nerve paralysis/palsy;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=105440

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