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From the 6/14/2018 release of VAERS data (an older release, current is 10/8/2021):

This is VAERS ID 86671



Case Details

VAERS ID: 86671 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Ohio  
Vaccinated:1995-11-06
Onset:0000-00-00
Submitted: 1996-02-19
Entered: 1996-06-03
   Days after submission:104
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Neck pain, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: pt has recv flu vax in the pas w/no problems
Allergies:
Diagnostic Lab Data: neurological tests r/o carpal tunnel, thoracic outlet synd & cervical abnormalities
CDC Split Type: 896053016L

Write-up: pt recv vax 6NOV95 & devel cervical neck pain, upper lt arm pain, numbness down into the lt hand;treated w/physical therapy & anti-inflammatory meds;sx have since dec in severity, but cont to persist


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180614&IDNUMBER=86671

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