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This is VAERS ID 28359

(NOTE: This result is from the 8/31/2010 version of the VAERS database)

Case Details

VAERS ID: 28359 (history)  
Form: Version .0  
Age: 47.8  
Sex: Female  
Location: New Jersey  
Vaccinated:1990-10-31
Onset:1990-12-10
   Days after vaccination:40
Submitted: 1991-02-15
   Days after onset:67
Entered: 1991-02-18
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 1 A / -

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Facial palsy, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (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, 20 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC Split Type:

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20100831&IDNUMBER=28359


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