From the 7/7/2013 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:	1992-12-17
Days after submission:	30

Vaccination / Manufacturer	Lot / Dose	Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS	00192P / 2	LA / IM

Administered by: Public Purchased by: Public
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (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:
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;

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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20130707&IDNUMBER=48167