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Found 13718 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 18 out of 1372

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VAERS ID: 36912 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Female  
Location: New Jersey  
Vaccinated:1991-11-29
Onset:1991-11-29
   Days after vaccination:0
Submitted: 1991-12-03
   Days after onset:4
Entered: 1992-04-08
   Days after submission:126
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918140 / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Dyspnoea, Hypersensitivity, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), 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, 1 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 891364002J

Write-up: Pt exp an allergic rxn p/receiving flu vax; addtl info has been requested;


VAERS ID: 37209 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Male  
Location: New Jersey  
Vaccinated:1992-02-17
Onset:1992-02-18
   Days after vaccination:1
Submitted: 1992-02-19
   Days after onset:1
Entered: 1992-05-20
   Days after submission:90
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre 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: UNK
Current Illness: NONE
Preexisting Conditions: pt had surgery on rt hip related to chondromalacia @ age of 9;
Allergies:
Diagnostic Lab Data:
CDC Split Type: 892051005L

Write-up: pt devel numbness on rt side of body 24 hrs p/flu vax/DT/Meningococcal vax; pt was hospitalized due to adverse effect & was noted to be improving w/numbness currently localized to the rt leg;


VAERS ID: 37210 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Female  
Location: Kansas  
Vaccinated:1991-10-01
Onset:1991-10-01
   Days after vaccination:0
Submitted: 1992-02-19
   Days after onset:141
Entered: 1992-05-20
   Days after submission:90
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918139 / 1 - / IM A
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 297900 / 1 - / IM A

Administered by: Private       Purchased by: Other
Symptoms: Abdominal pain, Anaphylactoid reaction, Dizziness
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (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, 1 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC Split Type: 892078006L

Write-up: pt exp severe abd pain, dizziness & acute distress w/in 2 hrs recvd flu/pne-imune vax; adm to hosp w/dx of anaphylactoid reaction;


VAERS ID: 37229 (history)  
Form: Version 1.0  
Age: 82.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:1991-10-23
Onset:1991-10-30
   Days after vaccination:7
Submitted: 1991-11-20
   Days after onset:21
Entered: 1992-05-28
   Days after submission:189
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312973 / UNK - / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 298962 / 2 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthritis, Condition aggravated, Hyperglycaemia, Oedema, Osteoarthritis, Pain, Red blood cell sedimentation rate increased, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (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, 6 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NA
Current Illness: erythema & edema of hand, PIP, joint kne
Preexisting Conditions: chronic atrial fibrillation; hiatus hernia w/gastroesophageal reflux; degenerative LS disease;
Allergies:
Diagnostic Lab Data: Chem-nl CBC- high sed rate 45 otherwise nl glucose 186; ANA pending; lyme test neg; mono test neg; RA neg; RPR non reactive;
CDC Split Type: 910224401

Write-up: Approx 1 wk p/flu vax/pnu imune, pt exp redness swelling of hands, wrist, knees; dx acute polyarthritis; seen in ER 13NOV91; ESR 45; tx w/Clinoral; 19NOV still having pain, clinoral discontinued, txthen w/Darvocet & Ansaid; hospitalized;


VAERS ID: 41492 (history)  
Form: Version 1.0  
Age: 37.0  
Sex: Female  
Location: Georgia  
Vaccinated:1991-10-25
Onset:1991-10-25
   Days after vaccination:0
Submitted: 1992-03-25
   Days after onset:152
Entered: 1992-04-24
   Days after submission:29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21216 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness, Headache, Hypoventilation, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Respiratory failure (narrow), Hypoglycaemia (broad), Infective pneumonia (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, 1 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Blood work/cultures-WNL
CDC Split Type: CO4035

Write-up: Hospitalized for dizziness, slowed respiration, somnolence & h/a; tx w/Adrenlin & sterioids in low doses, then DPH;


VAERS ID: 41509 (history)  
Form: Version 1.0  
Age: 64.0  
Sex: Male  
Location: Maryland  
Vaccinated:1991-12-19
Onset:1991-12-24
   Days after vaccination:5
Submitted: 1992-04-22
   Days after onset:119
Entered: 1992-04-24
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918123 / 1 - / A

Administered by: Private       Purchased by: Private
Symptoms: Anxiety, Asthenia, Atrial fibrillation, Chills, Guillain-Barre syndrome, Hyporeflexia, Insomnia, Paralysis
SMQs:, Peripheral neuropathy (narrow), Supraventricular tachyarrhythmias (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (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: ~ ()~~~In patient
Other Medications: Cardizem, Lanoxin, Tetracycline, Voltaren, Quindex
Current Illness:
Preexisting Conditions: PCN
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 24DEC91 devel vigors & chills, felt anxious & weak; 25DEC91 rigors & chill & diaphoretic; unable to sleep; 30DEC91 EKG-atrial fibrillation; 4JAN92 very weak, seen in ER, arreflexia of legs & followed by neurologist for GBS;


VAERS ID: 41591 (history)  
Form: Version 1.0  
Age: 71.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1991-09-10
Onset:1991-10-09
   Days after vaccination:29
Submitted: 1992-04-16
   Days after onset:190
Entered: 1992-04-29
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / 6 - / A

Administered by: Private       Purchased by: Private
Symptoms: Arthritis bacterial, Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Arthritis (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, 21 days
   Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: diabetic on insulin
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: GBS hospitalized 9OCT91 eval & dx; tx plasmapheresis-responded well, but complicated by septic arthritis of rt knee;


VAERS ID: 41594 (history)  
Form: Version 1.0  
Age: 67.0  
Sex: Female  
Location: Oregon  
Vaccinated:1991-11-21
Onset:1991-12-01
   Days after vaccination:10
Submitted: 1992-04-22
   Days after onset:142
Entered: 1992-04-29
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? Yes
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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: GBS-plasmapharesis;


VAERS ID: 41862 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Male  
Location: Nebraska  
Vaccinated:1991-12-12
Onset:1991-12-22
   Days after vaccination:10
Submitted: 1992-04-30
   Days after onset:129
Entered: 1992-05-11
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21216 / 7+ LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Anaemia, Asthenia, Malaise, Myelofibrosis, Oedema peripheral, Otitis media
SMQs:, Cardiac failure (broad), Angioedema (broad), Haematopoietic cytopenias affecting more than one type of blood cell (broad), Haematopoietic erythropenia (broad), Blood premalignant disorders (narrow), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: NE9212

Write-up: 10 days p/flu vax felt poorly-tired; MD tests done found to be very anemic; dx rare acute myleofibrosis of the bone; gets blood transfusions every 2 wks; has also had ear infects & now swelling of the feet is very weak;


VAERS ID: 42853 (history)  
Form: Version 1.0  
Age: 45.0  
Sex: Female  
Location: Virginia  
Vaccinated:1991-11-08
Onset:1991-11-10
   Days after vaccination:2
Submitted: 1992-06-05
   Days after onset:207
Entered: 1992-06-15
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 1F21206 / UNK - / -
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4918050 / UNK - / -

Administered by: Other       Purchased by: Private
Symptoms: Condition aggravated
SMQs:

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: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: pt has med hx of asthma attacks
Allergies:
Diagnostic Lab Data: EEG; Brain scan; LP;
CDC Split Type:

Write-up: 2 days p/recd Td/flu shot had an asthma attack on 10NOV91 & was hospitalized;


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