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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 105440



Case Details

VAERS ID: 105440 (history)  
Form: Version 1.0  
Age: 34.0  
Sex: Male  
Location: Florida  
Vaccinated:1997-10-29
Onset:1997-11-04
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Facial palsy
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

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: ~ ()~~~In patient
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=20180914&IDNUMBER=105440

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