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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 88869



Case Details

VAERS ID: 88869 (history)  
Form: Version .0  
Age:   
Sex: Male  
Location: California  
Vaccinated:1993-10-29
Onset:1993-11-26
   Days after vaccination:28
Submitted: 1996-07-23
   Days after onset:969
Entered: 1996-08-14
   Days after submission:22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 / WYETH - / - - / -

Administered by: Private       Purchased by: Unknown
Symptoms: AMBLYOPIA, ATAXIA, GUILLAIN BARRE SYND, HEADACHE, HYPOKINESIA
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: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recv vax 29OCT93 & 26NOV93 pt exp h/a, blurred vision, gen pain;pt was allegedly dx w/GBS on 29NOV93;it is alleged that pt exp & cont to exp paralysis, loss of mobility, impaired, & periodic loss of equilibrium;


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=88869

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