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This is VAERS ID 26637

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

Case Details

VAERS ID: 26637 (history)  
Form: Version .0  
Age:   
Sex: Male  
Location: Iowa  
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS - / - - / -
PPV: PNU-IMUNE(R)23 / LEDERLE 268982 / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: MYALGIA, PAIN NECK, 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: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''s Palsy. Prior to onset of Bell''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=26637


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