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Found 182,673 cases where Vaccine targets Influenza (FLU(H1N1) or FLU3 or FLU4 or FLUA3 or FLUC3 or FLUC4 or FLUN(H1N1) or FLUN3 or FLUN4 or FLUR3 or FLUR4 or FLUX or FLUX(H1N1) or H5N1 or FLUA4)

Case Details

This is page 16 out of 18,268

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VAERS ID: 27218 (history)  
Form: Version 1.0  
Age: 89.0  
Sex: Female  
Location: Louisiana  
Vaccinated:1990-11-01
Onset:1990-11-06
   Days after vaccination:5
Submitted: 1990-12-06
   Days after onset:30
Entered: 1990-12-27
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 2 - / IM A

Administered by: Other       Purchased by: Public
Symptoms: Cough, Productive cough
SMQs:, Anaphylactic reaction (broad), Infective pneumonia (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Vasotec, Bethanacol, Doriden, Verapamil, KCl.
Current Illness:
Preexisting Conditions: allergies to sulfa, hx of URI''s
Allergies:
Diagnostic Lab Data: 13NOV90 Bacterial Pneumonia culture
CDC Split Type: LA90121

Write-up: developed bad cough, no fever 5 days/p vax. Coughed up green sputum


VAERS ID: 27220 (history)  
Form: Version 1.0  
Age: 46.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1990-12-12
Onset:1990-12-12
   Days after vaccination:0
Submitted: 1990-12-14
   Days after onset:2
Entered: 1990-12-27
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 4908201 / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Dry mouth, Headache, Injection site reaction, Vasodilatation
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Dehydration (broad)

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Synthroid, Inderol
Current Illness:
Preexisting Conditions: Hay fever, Hypothroidism, Migraine
Allergies:
Diagnostic Lab Data:
CDC Split Type: PA9013

Write-up: Inflamation @ site of injection 30 min /p inject. Headache /p 1 hr of inject. Dry mouth, flushed, warm 1 hr /p inject. 14Dec90 still has headache


VAERS ID: 27222 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Female  
Location: Alabama  
Vaccinated:1990-11-02
Onset:1990-11-03
   Days after vaccination:1
Submitted: 1990-12-20
   Days after onset:47
Entered: 1990-12-27
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02380P / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 289905 / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Stomatitis
SMQs:, Severe cutaneous adverse reactions (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lanoxin. Bufferin
Current Illness:
Preexisting Conditions: TIA, Diverticulosis, Atrial Tachycardia
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Stomatitis one day /p injection


VAERS ID: 27754 (history)  
Form: Version 1.0  
Age: 60.0  
Sex: Female  
Location: Colorado  
Vaccinated:1989-11-03
Onset:1989-11-03
   Days after vaccination:0
Submitted: 1990-12-17
   Days after onset:409
Entered: 1990-12-27
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 4 RA / IM

Administered by: Other       Purchased by: Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

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, 41 days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC Split Type:

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


VAERS ID: 27226 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Male  
Location: California  
Vaccinated:1990-11-30
Onset:1990-12-04
   Days after vaccination:4
Submitted: 1990-12-07
   Days after onset:3
Entered: 1990-12-28
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: bronchial asthma, neurological problems
Allergies:
Diagnostic Lab Data:
CDC Split Type: 904090015

Write-up: seizure reported in pt receiving Fluogen necessary due to bronchial asthma & neurological problems & 82 hrs later had seizure, taken to ER, T 101, more seizures,


VAERS ID: 27227 (history)  
Form: Version 1.0  
Age: 63.0  
Sex: Female  
Location: Maine  
Vaccinated:1990-11-01
Onset:1990-11-10
   Days after vaccination:9
Submitted: 1990-12-18
   Days after onset:38
Entered: 1990-12-28
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (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, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Glipizide, Indomethacin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 904090016

Write-up: pericarditis reported in pt who received Fluogen 10 days earlier, pt diabetic, Hospitalized, recovered


VAERS ID: 27228 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Male  
Location: Unknown  
Vaccinated:1990-11-27
Onset:1990-11-29
   Days after vaccination:2
Submitted: 1990-12-22
   Days after onset:23
Entered: 1990-12-28
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11019 / 1 RA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Amnesia, Arthralgia, Asthenia, Back pain, Headache, Malaise, Palpitations, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Arthritis (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: All tests negative - Cat Scan - thyroid hormone; Spinal fluid
CDC Split Type:

Write-up: Pt vaccinated w/FLU. Developed loss of memory for 2-3 hrs; headache; tired-listless (3 wks post flu shot); tingling extremities; slight occasional palpitations; joint, back & head aches of short duration. No treatment. Still not 100%.


VAERS ID: 27245 (history)  
Form: Version 1.0  
Age: 61.0  
Sex: Female  
Location: Washington  
Vaccinated:1990-12-11
Onset:1990-12-12
   Days after vaccination:1
Submitted: 1990-12-17
   Days after onset:5
Entered: 1990-12-31
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, Pyrexia
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal infections (narrow), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


VAERS ID: 27252 (history)  
Form: Version 1.0  
Age: 70.0  
Sex: Male  
Location: West Virginia  
Vaccinated:1990-11-02
Onset:1990-11-03
   Days after vaccination:1
Submitted: 1990-11-20
   Days after onset:17
Entered: 1990-12-31
   Days after submission:41
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02780P / UNK LA / -

Administered by: Public       Purchased by: Public
Symptoms: Myalgia, Pharyngitis
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: In pt; flu-like symptoms; 69yr old; FLU; 1 dose~ ()~~~In patient
Other Medications: Indural, Lanoxin, Ascriptin
Current Illness:
Preexisting Conditions: hx of cardiac problems
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated w/Influenza 1 day after immunization pt c/o throat & aching all over.


VAERS ID: 27275 (history)  
Form: Version 1.0  
Age: 82.0  
Sex: Male  
Location: Minnesota  
Vaccinated:1990-11-26
Onset:1990-11-26
   Days after vaccination:0
Submitted: 1990-12-26
   Days after onset:30
Entered: 1991-01-02
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01870P / UNK LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Apnoea, Cardiac arrest
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), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1990-11-26
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Ascriptin, Metamucil
Current Illness:
Preexisting Conditions: No allergies, murmur, parkinson''s dsiease, arthritis, early cataracts, excision sebaceous cyst of back, benign keratosis of face.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with FLUOGEN apparent cardiac arrest - no breath/pulse 8PM - CPR initiated - transported to hosp where he expired.


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