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This is VAERS ID 25584

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

Case Details

VAERS ID: 25584 (history)  
Form: Version .0  
Age: 31.0  
Sex: Female  
Location: Florida  
Vaccinated:1990-01-26
Onset:1990-02-20
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B / WYETH 4898139 / - - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: ASTHENIA, BRADYCARDIA, DIZZINESS, FLU SYND, GUILLAIN BARRE SYND
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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC Split Type:

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25584


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