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From the 2/14/2018 release of VAERS data (an older release, current is 10/8/2021):

This is VAERS ID 80136

Case Details

VAERS ID: 80136 (history)  
Form: Version 1.0  
Age: 52.0  
Sex: Female  
Location: South Carolina  
   Days after vaccination:8
Submitted: 1995-12-06
   Days after onset:32
Entered: 1995-12-19
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: Unknown
Symptoms: CSF test abnormal, Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Prinivil, Lopid, Glucotrol xl, Synthyroid
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: protein inc in CSF
CDC Split Type:

Write-up: acute Guillain-Barre Synd; hospitalized 5 days-recvd 5 rounds of immune globulin

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