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Found 14,001 cases where Vaccine targets Influenza (FLU(H1N1) or FLU3 or FLU4 or FLUC3 or FLUC4 or FLUN(H1N1) or FLUN3 or FLUN4 or FLUR3 or FLUR4 or FLUX or FLUX(H1N1) or H5N1) and Hospitalized

Case Details

This is page 11 out of 1,401

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VAERS ID: 37815 (history)  
Form: Version 1.0  
Age: 69.0  
Sex: Female  
Location: Virginia  
Vaccinated:0000-00-00
Onset:1991-11-01
Submitted: 1991-11-14
   Days after onset:13
Entered: 1991-12-09
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Arthritis, Chills, Myalgia, Pyrexia, Serum sickness, Synovitis
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC Split Type: 910216201

Write-up: Pt devel fever, chills, myalgias which progressed to arthritis & synovitis 10 days p/vax; Hospitalized; culture are neg; MD suspects serum sickness, however indirect & direct Coombs test looks nl; pt found to have polyarticular pseudogout;


VAERS ID: 37816 (history)  
Form: Version 1.0  
Age: 33.0  
Sex: Female  
Location: California  
Vaccinated:1991-10-30
Onset:1991-10-31
   Days after vaccination:1
Submitted: 1991-10-31
   Days after onset:0
Entered: 1991-12-09
   Days after submission:39
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NA
Current Illness: Healthy
Preexisting Conditions: Diabetic
Allergies:
Diagnostic Lab Data: during hospitalization differential WBc showed 37% BANDS; a recent CBC prior to immun showed no BANDs; blood cultures pending;
CDC Split Type: 910208601

Write-up: Pt recvd vax 30OCT91 & approx 5 hrs p/immun, pt exp abdominal pain, vomiting & a fever of 104; hospitalized; treated w/oral ATB; blood cultures pending;


VAERS ID: 37842 (history)  
Form: Version 1.0  
Age: 72.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:1991-11-26
Onset:1991-11-27
   Days after vaccination:1
Submitted: 1991-11-29
   Days after onset:2
Entered: 1991-12-09
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01718P / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Condition aggravated, Dyspnoea, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Pred, Proventil, Azmacort, Nebulizer inhalers
Current Illness: COPD-controlled
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sudden onset of fever, exacerbation of COPD, inc SOB severe;


VAERS ID: 37843 (history)  
Form: Version 1.0  
Age: 82.0  
Sex: Male  
Location: Illinois  
Vaccinated:1991-11-19
Onset:1991-11-19
   Days after vaccination:0
Submitted: 1991-11-27
   Days after onset:8
Entered: 1991-12-09
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 7+ RA / IM

Administered by: Private       Purchased by: Public
Symptoms: Asthenia, Atrial fibrillation, Confusional state, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Lanoxin, Quinidex
Current Illness: NONE
Preexisting Conditions: cardiac arrthymia, ASHD
Allergies:
Diagnostic Lab Data: Atrial fibrillation; Cat Scan of head, carotid dopple neg;
CDC Split Type:

Write-up: Episode of weakness, syncope w/in 45 min of inject, followed by minor confusion;


VAERS ID: 37847 (history)  
Form: Version 1.0  
Age: 33.0  
Sex: Female  
Location: Ohio  
Vaccinated:1991-10-08
Onset:1991-10-13
   Days after vaccination:5
Submitted: 1991-12-02
   Days after onset:50
Entered: 1991-12-09
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918126 / UNK RA / -

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain, Cyst, Influenza, Leukopenia, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth control pills
Current Illness: NONE
Preexisting Conditions: allergic mercury, metals; MAY90- lt paratoidectomy-CA then radiation neoplasm
Allergies:
Diagnostic Lab Data: WBC-2.85, RBC 4.71, Hb 1.29, Hct 37.7, IVP, Pelvic ultrasound, CT abd & pelvis & CXR-WNL
CDC Split Type:

Write-up: 13OCT91 abdominal pain rt lower, nausea & fever remote hx ovarian cyst; t100.5, 14OCT temp returns to normal; 16OCT oncology consult: leukopenia, fall in neutrophils, "flu-like illness or rxn to flu shot";


VAERS ID: 37872 (history)  
Form: Version 1.0  
Age: 33.0  
Sex: Female  
Location: West Virginia  
Vaccinated:1991-11-21
Onset:1991-11-21
   Days after vaccination:0
Submitted: 1991-12-02
   Days after onset:11
Entered: 1991-12-11
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21200 / 1 RA / -

Administered by: Other       Purchased by: Public
Symptoms: Face oedema, Laryngospasm, Oedema peripheral, Pruritus, Tachycardia, Tongue oedema, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Oropharyngeal allergic conditions (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: Brother exp rxn in 1981 @ 43 w/flu;~ ()~~~In Sibling
Other Medications: Prenisone & Zantac
Current Illness: NONE
Preexisting Conditions: prev severe reaction to peanut butter; minor reaction to soft-shell crab; systemic reaction to bee stings; allergy to chickens or eggs-sneezes when exposed to feather;
Allergies:
Diagnostic Lab Data: EKG- D/T tachycardia w/suspren CBC/FBS/UA-WNL
CDC Split Type: WV9153

Write-up: Approx 25 mins p/inject PC that pt c/o itching & breaking out; had taken benedryl, but no relief; advised to take pt to ER immediately; hives noted on back; face feeling "funny & puffy"; felt hands swelling;


VAERS ID: 37875 (history)  
Form: Version 1.0  
Age: 80.0  
Sex: Female  
Location: West Virginia  
Vaccinated:1991-10-25
Onset:1991-11-20
   Days after vaccination:26
Submitted: 1991-12-03
   Days after onset:13
Entered: 1991-12-11
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01071P / 2 LA / SC

Administered by: Other       Purchased by: Public
Symptoms: Anxiety, Bundle branch block, Cardiomegaly, Cardiovascular disorder, Dyspnoea, Hyperglycaemia, Ventricular extrasystoles
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Conduction defects (narrow), Ventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypoglycaemia (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Furosemide, Lanoxin, Vasotec NTG, Perestan, Buspou
Current Illness: NONE
Preexisting Conditions: ischemic cardiomyopathy, CHF, Alzheimers
Allergies:
Diagnostic Lab Data: 23NOV CHF-cardiomegaly w/minimal congestive changes; EKG 20NOV PVC, LBBB, lt atrial ab; glucose-20NOV 410
CDC Split Type: WV9156

Write-up: Pt became anxious & dyspneic; Pt sent to ER & was admitted w/ CHF; has hx of chronic & recurrent CHF;


VAERS ID: 37876 (history)  
Form: Version 1.0  
Age: 76.0  
Sex: Male  
Location: West Virginia  
Vaccinated:1991-10-25
Onset:1991-11-12
   Days after vaccination:18
Submitted: 1991-12-03
   Days after onset:21
Entered: 1991-12-11
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01071P / 1 LA / SC

Administered by: Other       Purchased by: Public
Symptoms: Condition aggravated, Lung disorder, Peripheral vascular disorder, Pneumonia, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 17 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: chronic brain synd, COPD, PVD
Allergies:
Diagnostic Lab Data: Spinal lap fluid-neg; 27NOV CXR-bil interstitial changes;
CDC Split Type: WV9157

Write-up: 12NOV91 became congested suctioned for lg amt thick mucus & peaches x 2 @ 210 & 545PM, also had emesis 545PM t103.3 R; transferred to Hosp & was admitted w/pneumonia & peripherial vascular disease;


VAERS ID: 37877 (history)  
Form: Version 1.0  
Age: 71.0  
Sex: Female  
Location: West Virginia  
Vaccinated:1991-10-25
Onset:1991-11-20
   Days after vaccination:26
Submitted: 1991-12-03
   Days after onset:13
Entered: 1991-12-11
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01071P / 2 LA / SC

Administered by: Other       Purchased by: Public
Symptoms: Abdominal pain, Anorexia, Intestinal obstruction, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 13 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Aldactone, Edecrin, Premarin, Prednisone, Ativan
Current Illness: NONE
Preexisting Conditions: Alzheimer''s dementia, CHF, hypertension, chronic lymphedeme
Allergies:
Diagnostic Lab Data:
CDC Split Type: WV9158

Write-up: 20NOV91 began vomiting @ 130AM x 2 refused to eat through the day; no audible bowel sounds @ 715PM & c/o abd tenderness & admitted to Hosp 20NOV; bowel resection completed due to volvolus of bowel;


VAERS ID: 37878 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Male  
Location: West Virginia  
Vaccinated:1991-10-25
Onset:1991-11-22
   Days after vaccination:28
Submitted: 1991-12-07
   Days after onset:15
Entered: 1991-12-11
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01071P / 2 LA / SC

Administered by: Other       Purchased by: Public
Symptoms: Abdominal pain, Condition aggravated, Diabetes mellitus, Hyperglycaemia, Nausea, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 12 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Glucotid, Zantac, Senokot
Current Illness: Hyperglycemia
Preexisting Conditions: DM, peripheral vas disease, lt AKA
Allergies:
Diagnostic Lab Data: 25OCT FBS-443; 23NOV Glucose-724;
CDC Split Type: WV9159

Write-up: Unstable diabetes mellitus; abd pain, n/v, generalized rash; pt hospitalized 3NOV cholecystectomy


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