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

This is VAERS ID 89533

Case Details

VAERS ID: 89533 (history)  
Form: Version 1.0  
Age: 57.0  
Sex: Female  
Location: Ohio  
   Days after vaccination:58
Submitted: 1996-07-19
   Days after onset:187
Entered: 1996-09-03
   Days after submission:46
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Demyelination (narrow), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow)

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;~ ()~~~In patient
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Diagnostic Lab Data: many
CDC Split Type: OH96125

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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