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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 94044



Case Details

VAERS ID: 94044 (history)  
Form: Version .0  
Age:   
Sex: Male  
Location: Kansas  
Vaccinated:1994-09-24
Onset:1994-10-19
   Days after vaccination:25
Submitted: 1996-12-16
   Days after onset:789
Entered: 1997-01-31
   Days after submission:46
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 / WYETH - / - - / -

Administered by: Other       Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, PAIN
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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recv vax 24SEP94 & allegedly dx w/GBS on 19OCT94;as a result of GBS pt suffered pain & permanent disability;hosp is presumed, although not documented;this is a serious, labelled event;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=94044

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