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This is VAERS ID 106323

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 106323 (history)  
Form: Version .0  
Age: 44.6  
Sex: Male  
Location: Ohio  
Vaccinated:1997-11-02
Onset:1997-11-06
   Days after vaccination:4
Submitted: 1998-01-07
   Days after onset:62
Entered: 1998-01-14
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -

Administered by: Other       Purchased by: Unknown
Symptoms: ASTHENIA, GUILLAIN BARRE SYND, HYPOXIA, PARALYSIS
SMQs:

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Dilantin, decadron 9started in JUL post op brain surg)
Current Illness: glioblastoma
Preexisting Conditions: before dx glioblasma, excellent health before & ater;
Allergies:
Diagnostic Lab Data: several CT scans, MRI, blood work, etc;refused to test for GBS;
CDC Split Type:

Write-up: quadriplegia & 100% vent assisted;pt too weakened to cont w/chemotherapy;prognosis is less than 2mo;


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=106323


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