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From the 12/31/2003 release of VAERS data (an older release, current is 10/8/2021):

This is VAERS ID 86280



Case Details

VAERS ID: 86280 (history)  
Form: Version .0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:1994-10-23
Onset:1994-11-01
   Days after vaccination:9
Submitted: 1996-05-22
   Days after onset:567
Entered: 1996-05-28
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUVIRIN 1994-1995 / MEDEVA PHARMS LI - / - - / -

Administered by: Private       Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND
SMQs:

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:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: plaintiff alleges that w/in 10 days of vax OCT94 pt fell ill & was ultimately dx w/GBS;pt was hosp & has undergone rehabilitation;residual sx are reported to cont;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=86280

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