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From the 11/26/2021 release of VAERS data:

This is VAERS ID 80782

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Case Details

VAERS ID: 80782 (history)  
Form: Version 1.0  
Age: 55.0  
Sex: Male  
Location: Washington  
   Days after vaccination:42
Submitted: 1995-12-12
   Days after onset:22
Entered: 1996-01-11
   Days after submission:30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: CSF test abnormal, Guillain-Barre syndrome, Hypokinesia, Myasthenic syndrome, Neuropathy, Pain
SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hypotonic-hyporesponsive episode (broad), Immune-mediated/autoimmune disorders (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hiv positive in 1987 w/ burkitt''s symphoma;tx w/ xrt & no occurence since;a symptomatic inc amylase due to alcohol;
Diagnostic Lab Data: CSF:0cells, prot=225;CMV pcr neg;EMG consistent w/GBS or severe multifocal mononeuropathy multiplex w/ underlying peripheral sensorimotor poly neuropathy
CDC Split Type:

Write-up: pt recvd vax;30 days later,foot pain,trouble walking;weakness progressed;by day 50 unable to walk;unable to crawl,dress,roll over in bed;EMG consistent w/ GBS or severe non neuropathy multiplex;

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