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From the 12/14/2016 release of VAERS data (an older release, current is 10/8/2021):

This is VAERS ID 99823



Case Details

VAERS ID: 99823 (history)  
Form: Version .0  
Age: 72.0  
Sex: Female  
Location: Unknown  
Vaccinated:1996-11-01
Onset:1996-11-19
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 1997-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dysphagia, Guillain-Barre syndrome, Hyperchloraemia, Hyperglycaemia, Hypokinesia, Hypoxia, Laboratory test abnormal, Quadriplegia
SMQs:, Asthma/bronchospasm (broad), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Demyelination (narrow), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Tubulointerstitial diseases (broad), Respiratory failure (broad)

Life Threatening? Yes
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:
Current Illness:
Preexisting Conditions: PMH x/hystercetomy-50yr PTA:upper resp
Allergies:
Diagnostic Lab Data: CBC WNL; 9.3;39.1;13.5;321; Na 138;Potassium 3.7;Cl 108;Bicarb 23.4;BUN 6;Creat 0.7; glucose 139;
CDC Split Type:

Write-up: pt recv vax & became weaker during the day;upon admission pt markedly quadraparetic;could move head & speak w/o diff;CBC WNL;adm evolving GBS;intubated on ventilator;tracheostomy;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20161214&IDNUMBER=99823

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