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This is VAERS ID 63218

(NOTE: This result is from the 2/14/2017 version of the VAERS database)

Case Details

VAERS ID: 63218 (history)  
Form: Version .0  
Age: 81.0  
Sex: Male  
Location: Montana  
Vaccinated:1993-10-08
Onset:1993-11-01
   Days after vaccination:24
Submitted: 1994-05-24
   Days after onset:203
Entered: 1994-06-02
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938145 / - - / -

Administered by: Other       Purchased by: Unknown
Symptoms: Neuropathy
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad)

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? Yes
Previous Vaccinations: unk
Other Medications:
Current Illness: parkinson
Preexisting Conditions: intestinal pseudo-obstruction
Allergies:
Diagnostic Lab Data: nerve conduction, spinal fluid eval;
CDC Split Type:

Write-up: polyneuropathy p/influenza vax;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170214&IDNUMBER=63218


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