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From the 10/14/2018 release of VAERS data (an older release, current is 1/7/2022):

This is VAERS ID 97013

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Case Details

VAERS ID: 97013 (history)  
Form: Version 1.0  
Age: 38.0  
Sex: Male  
Location: New York  
   Days after vaccination:0
Submitted: 1997-02-14
   Days after onset:114
Entered: 1997-04-21
   Days after submission:65
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Back pain, CSF test abnormal, Encephalitis, Infection, Muscle atrophy, Myositis, Neuropathy, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: EMG/Nerve conduction lower extremities: reportedly abn;CPK: reportedly elevated;CSF: reportedly contained protein;
CDC Split Type: 897072001L

Write-up: pt devel back pain p/vax;exp paresthesias, described as band-like feeling around the abd, arms, & legs as well as flip-flop sensation in feet & puffiness in hands;nerve damage;muscle atrophy;encephalomyelitis;myositis;polyneuropathy synd;

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