From the 7/7/2013 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 38092

Case Details

VAERS ID:	38092 (history)
Form:	Version .0
Age:	44.3
Sex:	Female
Location:	Montana

Vaccinated:	1991-10-31
Onset:	1991-11-05
Days after vaccination:	5
Submitted:	1991-11-26
Days after onset:	21
Entered:	1991-12-23
Days after submission:	27

Vaccination / Manufacturer	Lot / Dose	Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH	4918147 / 0	- / -

Administered by: Public Purchased by: Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy
SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 21 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC Split Type: 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;

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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20130707&IDNUMBER=38092