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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

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VAERS ID: 38988 (history)  
Form: Version 1.0  
Age: 60.0  
Sex: Female  
Location: Florida  
Vaccinated:1991-11-27
Onset:1991-11-27
   Days after vaccination:0
Submitted: 1991-11-27
   Days after onset:0
Entered: 1992-01-21
   Days after submission:55
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918145 / 1 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Bradycardia, Cardiac arrest, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bradycardia, asystole, resp arrest; dx vasovagal episode w/ a systole;


VAERS ID: 39017 (history)  
Form: Version 1.0  
Age: 53.0  
Sex: Male  
Location: North Carolina  
Vaccinated:1991-10-31
Onset:1991-11-14
   Days after vaccination:14
Submitted: 1991-12-12
   Days after onset:28
Entered: 1992-01-23
   Days after submission:42
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Neuritis
SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Amitriptyline, Tenormin
Current Illness: unk
Preexisting Conditions: pt has a hx of sensory nerve disorder & hypertension; He took Vit C when sx of a cold appeared 14NOV91;
Allergies:
Diagnostic Lab Data:
CDC Split Type: 892003010L

Write-up: Pt devel GBS p/receiving flu vax; pt was hospitalized on 16NOV91 & recvd plasma replacement therapy;


VAERS ID: 39021 (history)  
Form: Version 1.0  
Age: 28.0  
Sex: Female  
Location: New York  
Vaccinated:1991-11-15
Onset:1991-11-16
   Days after vaccination:1
Submitted: 1992-01-09
   Days after onset:54
Entered: 1992-01-24
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918131 / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Hypertonia, Injection site inflammation, Injection site mass, Injection site pain, Myalgia, Myositis, Tendon disorder, Tenosynovitis
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: UNK
Allergies:
Diagnostic Lab Data: Blood work & X-ray results are pending;
CDC Split Type: 892013001J

Write-up: Pt exp pain @ inject site the day p/recvd flu vax; This pain continued to worsen until pt was unable to work; A bump was noted @ the inject site; MD dx tendonitis; pts MD felt area was inflamed but not infected; pt currently receiving PT;


VAERS ID: 39030 (history)  
Form: Version 1.0  
Age: 69.0  
Sex: Female  
Location: Kansas  
Vaccinated:1991-11-15
Onset:1991-11-28
   Days after vaccination:13
Submitted: 1992-01-17
   Days after onset:50
Entered: 1992-01-24
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918129 / 7+ LA / IM

Administered by: Private       Purchased by: Private
Symptoms: CSF test abnormal, Guillain-Barre syndrome, Hyporeflexia, Leukocytosis, Myelitis, Neuritis, Paraesthesia, Paralysis flaccid
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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, 7 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Cardizem, Premarin, Dyazide
Current Illness: NONE
Preexisting Conditions: EES, PCN, Keftabs, Teramycin; hx of chronic bronchitis, hypertension, arteriosclerotic heart disease
Allergies:
Diagnostic Lab Data: Myelogram; lab showed a leukocytosis of 16.1 w/o lt shift; spinal fluid no cells but a rising protein from 58 to 93 five days apart; UTI treated;
CDC Split Type:

Write-up: Onset of severe pain base of skull, neck & across shoulders, w/resulting weakness; also exp myalgia, flaccid paralysis; unable to pick up objects; muscle dec, hyeresthesia, reflexes difficult to illicit; poss GBS; SEE WORM VERY DETAILED;


VAERS ID: 39281 (history)  
Form: Version 1.0  
Age: 79.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:1991-11-13
Onset:1991-11-18
   Days after vaccination:5
Submitted: 1992-01-16
   Days after onset:59
Entered: 1992-01-31
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918131 / 1 LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Intestinal perforation, Pharyngitis, Pneumonia
SMQs:, Agranulocytosis (broad), Gastrointestinal perforation (narrow), Oropharyngeal infections (narrow), Ischaemic colitis (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-11-26
   Days after onset: 8
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Comtrex, blood thinner, Imodium for diarrhea;
Current Illness: NONE
Preexisting Conditions: peripheral vascular
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 1 1/2 wk p/shot got sore throat Mon AM went to ER on Tues Evening 19NOV hospitalized pneumonia, perforated bowel; died;


VAERS ID: 39285 (history)  
Form: Version 1.0  
Age: 3.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:1991-12-18
Onset:1991-12-20
   Days after vaccination:2
Submitted: 1992-01-08
   Days after onset:19
Entered: 1992-01-31
   Days after submission:23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21213 / 2 LL / -

Administered by: Public       Purchased by: Public
Symptoms: Apnoea, Convulsion, Stupor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: Albuterol nebulizer
Current Illness: NONE
Preexisting Conditions: asthma, premature @ birth, fundoplication 1 yr ago
Allergies:
Diagnostic Lab Data: Negative EEG, CAT Scan, MRI, Chemistries, & CBC;
CDC Split Type:

Write-up: Pt suffered a 45 min sz that had a gradual onset which progressed to unconciousness accompanied by periods of apnea & vomiting; Phenobarbitol used to terminate sz; pt was transferred p/being stabilized, to be observed & treated in PICU;


VAERS ID: 39287 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:1991-12-04
Onset:1991-12-06
   Days after vaccination:2
Submitted: 1991-12-12
   Days after onset:6
Entered: 1992-01-31
   Days after submission:50
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918131 / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Asthenia, Chest pain, Headache, Malaise, Myalgia, Myocardial infarction, Nausea, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MD feels no connection of apparent MI & vax;
CDC Split Type:

Write-up: Felt ill on 6DEC91 h/a, nausea, weakness, generalized aching; 10DEC early AM devel rt shoulder & chest pain; to hosp;


VAERS ID: 39321 (history)  
Form: Version 1.0  
Age: 76.0  
Sex: Female  
Location: Michigan  
Vaccinated:1991-10-25
Onset:1991-11-09
   Days after vaccination:15
Submitted: 1992-01-07
   Days after onset:59
Entered: 1992-02-04
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21201 / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Abdominal pain, Anorexia, Asthenia, Depression, Hypokalaemia, Hyponatraemia, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Depression (excl suicide and self injury) (narrow), Chronic kidney disease (broad), Hypokalaemia (narrow)

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, 4 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Inderal, Dyazide, Elavil, Phenobarbital;
Current Illness: NONE
Preexisting Conditions: hypertension; depression
Allergies:
Diagnostic Lab Data:
CDC Split Type: MI92003

Write-up: 9NOV91 abdominal cramps; 10NOV01 vomiting; rx w/liquid diet admitted to hosp ICU dx dec NA & K; 11NOV -15NOV91 still weak-anorexic, depressed;


VAERS ID: 39374 (history)  
Form: Version 1.0  
Age: 38.0  
Sex: Female  
Location: New Mexico  
Vaccinated:1991-11-15
Onset:1991-12-02
   Days after vaccination:17
Submitted: 1991-12-20
   Days after onset:18
Entered: 1992-02-07
   Days after submission:49
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918213 / UNK RA / -

Administered by: Public       Purchased by: Public
Symptoms: Cough, Dyspnoea, Malaise, Paraesthesia, Rhinitis
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Taking Thyroid & cough med
Current Illness: pt stated no illness @ present
Preexisting Conditions: throid problems, allergies to sulfa, PCN, Codiene;
Allergies:
Diagnostic Lab Data: 4DEC91 CBC-white count 8.4;
CDC Split Type: NM91015

Write-up: 4DEC91 MD seen @ ER erthromycin given 5DEC91 seen again in ER w/cough, not feeling well, congestion, numbness of hands; feet & SOB; transferred to hosp 5DEC91;


VAERS ID: 39455 (history)  
Form: Version 1.0  
Age: 70.0  
Sex: Unknown  
Location: Michigan  
Vaccinated:1991-12-14
Onset:1991-12-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1992-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21218 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Encephalitis, Hypokinesia, Paraesthesia, Thinking abnormal
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: CO4122

Write-up: Encephalitis; As of 11FEB92 no reports on lot # 1F21218 have been reported;


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