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From the 1/7/2021 release of VAERS data:

This is VAERS ID 26802

Case Details

VAERS ID: 26802 (history)  
Form: Version 1.0  
Age: 28.0  
Sex: Female  
Location: Delaware  
Vaccinated:1990-10-24
Onset:1990-10-25
   Days after vaccination:1
Submitted: 1990-11-19
   Days after onset:25
Entered: 1990-11-27
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES - / UNK LA / -

Administered by: Private       Purchased by: Other
Symptoms: Asthenia, Neuropathy, Pain, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: PCN, Codeine allergies
Allergies:
Diagnostic Lab Data: Post vaccine Peripheral Polyneuropathy
CDC Split Type:

Write-up: Pt vaccinated with MMR/Tetanus developed paresthesia of hands & feet w/numbness, fatigue, weakness, aches, fever 99.9.


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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26802


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