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From the 12/31/2003 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 48167

Case Details

VAERS ID: 48167 (history)  
Form: Version .0  
Age: 62.3  
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: 1992-12-21
   Days after submission:34
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1992-1993 / PARKE-DAVIS 00192P / 2 LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND
SMQs:

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:
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC Split Type:

Write-up: Guillain Barre syndrome;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=48167


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