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From the 6/14/2018 release of VAERS data (an older release, current is 9/10/2021):

This is VAERS ID 72173



Case Details

VAERS ID: 72173 (history)  
Form: Version 1.0  
Age: 46.0  
Sex: Male  
Location: Missouri  
Vaccinated:1993-10-12
Onset:1994-04-01
   Days after vaccination:171
Submitted: 1994-11-11
   Days after onset:224
Entered: 1995-02-03
   Days after submission:84
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Public       Purchased by: Public
Symptoms: Muscle atrophy, Neuropathy
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad)

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? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type: 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180614&IDNUMBER=72173


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