From the 2/18/2021 release of VAERS data:

This is VAERS ID 48167

Case Details

VAERS ID:	48167 (history)
Form:	Version 1.0
Age:	62.0
Sex:	Male
Location:	Florida

Vaccinated:	1992-10-20
Onset:	1992-10-24
Days after vaccination:	4
Submitted:	1992-11-17
Days after onset:	24
Entered:	1992-12-17
Days after submission:	30

Vaccination / Manufacturer	Lot / Dose	Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS	00192P / 3	LA / IM

Administered by: Public Purchased by: Public
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC Split Type: FL92076

Write-up: Guillain Barre syndrome;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=48167