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This is VAERS ID 26875

(NOTE: This result is from the 2/14/2018 version of the VAERS database)

Case Details

VAERS ID: 26875 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Colorado  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Back pain, CSF test abnormal, Neuropathy, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC Split Type:

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180214&IDNUMBER=26875


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