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From the 12/31/2003 release of VAERS data (an older release, current is 10/8/2021):

This is VAERS ID 27754

Case Details

VAERS ID: 27754 (history)  
Form: Version .0  
Age: 60.3  
Sex: Female  
Location: Colorado  
   Days after vaccination:0
Submitted: 1990-12-17
   Days after onset:409
Entered: 1991-02-07
   Days after submission:52
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS 9J01139 / 3 RA / IM

Administered by: Other       Purchased by: Unknown

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, 41 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC Split Type:

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.

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