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From the 12/31/2003 release of VAERS data (an older release, current is 10/15/2021):

This is VAERS ID 89533



Case Details

VAERS ID: 89533 (history)  
Form: Version .0  
Age: 57.8  
Sex: Female  
Location: Ohio  
Vaccinated:1995-11-16
Onset:1996-01-13
   Days after vaccination:58
Submitted: 1996-07-19
   Days after onset:187
Entered: 1996-09-05
   Days after submission:48
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1995-1996 / PARKE-DAVIS 00885P / 0 LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, HYPOTONIA, INFECT, LUNG DIS, PARALYSIS
SMQs:

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 169 days
   Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC Split Type: back & neck pain

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=89533

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