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From the 9/14/2017 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 1.0  
Sex: Male  
Location: California  
   Days after vaccination:28
Submitted: 1996-07-23
   Days after onset:969
Entered: 1996-08-12
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Amblyopia, Coordination abnormal, Guillain-Barre syndrome, Headache, Hypokinesia, Pain, Paralysis, Visual disturbance
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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: unk
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 896207001L

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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