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From the 9/14/2018 release of VAERS data (an older release, current is 10/8/2021):

This is VAERS ID 27178



Case Details

VAERS ID: 27178 (history)  
Form: Version 1.0  
Age: 53.0  
Sex: Male  
Location: California  
Vaccinated:1990-10-22
Onset:1990-10-27
   Days after vaccination:5
Submitted: 1990-12-18
   Days after onset:52
Entered: 1990-12-26
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / IM A

Administered by: Military       Purchased by: Private
Symptoms: Facial palsy, Hypoaesthesia, Myasthenic syndrome, Speech disorder
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Malignancy related conditions (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lumbar disc disease
Allergies:
Diagnostic Lab Data: Increased ACE level; LP increased protein, MRI 0, compatible w/savcoid
CDC Split Type:

Write-up: Pt vaccinated with Influenza onset peripheal hypesthesias, facial diplegia, dysphagia, leg weakness, resolved w/long course prednisone.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180914&IDNUMBER=27178

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