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From the 5/14/2017 release of VAERS data (an older release, current is 10/15/2021):

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: 1996-05-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. - / - - / -

Administered by: Private       Purchased by: Other
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (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: unk
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: ALI96248

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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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170514&IDNUMBER=86280

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