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From the 2/14/2018 release of VAERS data (an older release, current is 10/8/2021):

This is VAERS ID 94044

Case Details

VAERS ID: 94044 (history)  
Form: Version 1.0  
Sex: Male  
Location: Kansas  
   Days after vaccination:25
Submitted: 1996-12-16
   Days after onset:789
Entered: 1997-01-27
   Days after submission:42
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Guillain-Barre syndrome, Pain
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)

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: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 897009012L

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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