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From the 2/18/2021 release of VAERS data:

Found 3,792 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) and Disabled

Case Details

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VAERS ID: 166802 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2000-10-16
Onset:2000-11-01
   Days after vaccination:16
Submitted: 2001-01-08
   Days after onset:68
Entered: 2001-03-08
   Days after submission:59
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 7+ LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Asthenia, Back pain, Balance disorder, Bone disorder, Demyelination, Dizziness, Ear discomfort, Hyperhidrosis, Hypoacusis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (narrow), 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? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC Split Type:

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


VAERS ID: 167584 (history)  
Form: Version 1.0  
Age: 39.0  
Sex: Male  
Location: Utah  
Vaccinated:2000-11-24
Onset:2000-11-24
   Days after vaccination:0
Submitted: 2001-03-06
   Days after onset:102
Entered: 2001-03-21
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4008202 / 2 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Eye disorder, Hypoaesthesia, Movement disorder
SMQs:, Peripheral neuropathy (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Corneal disorders (broad), Retinal disorders (broad)

Life Threatening? No
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: Diabetes, High blood pressure.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: After the patient received his vaccine, he said it was like he had went to the dentist, the left side of his face was numb. The next day his eye was giving him trouble. On the third day his mouth was not working. They bandaged the eye up to keep it moist.


VAERS ID: 168021 (history)  
Form: Version 1.0  
Age: 53.0  
Sex: Male  
Location: West Virginia  
Vaccinated:2001-01-05
Onset:2001-01-05
   Days after vaccination:0
Submitted: 2001-03-07
   Days after onset:61
Entered: 2001-04-02
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4008181 / 1 LA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Blindness
SMQs:, Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: This patient lost sight in his left eye. (Nothing else attached). The follow up received on 7/3/01 states, "this is a 53 year old pt who was referred by Dr, to "try to help me." "I''m losing my vision; I basically lost my vision in my left eye." "I first noticed the loss of vision on January 5, I took the flu shot about 2:00 in the afternoon, and about 7:30 or 8:00, I went down to read a book and it was fuzzy." He checked the eyes individually and found that the fuzziness was only OS. When he awoke the next morning, it was still fuzzy. The same morning, Saturday, January 6, he was seen by Dr, an optometrist. "She basically said I needed to go see an ophthalmologist." It sounds like he was told that he had AION. On Monday, January 8, he was seen by Dr and "he basically told me I had the same problem but he wanted to go ahead and run various blood tests and an MRI." The MRI scan was done on January 9. "It was all good except he had sinusitis." "I didn''t have any vision in the upper half." "This past Sunday (1/14), it started in the lower half, and since then it''s just about to the point where it''s all gone." "There is a mild swelling-like or puffy-like sensation." There has been no real pain; no pain on motility. "In driving down here yesterday, there was a lot of strain on it." "It just feels like your eye is weak, it''s worn out, you just want to close it." "There has been no problem with vision OD. He has had some mild hypertension. "It''s high when I first have it tested, but by the time I leave the office, it''s down to around 140/90." Four days ago he was started on Norvasc. There is no history of diabetes, ASCVD, angina, MI, CVA, focal motor weakness, or cigarette consumption. He has been on Decadron for 2 years for "Meniere''s disease." There was no prior MRI scan."


VAERS ID: 168255 (history)  
Form: Version 1.0  
Age: 70.0  
Sex: Male  
Location: New York  
Vaccinated:2000-11-09
Onset:2000-12-27
   Days after vaccination:48
Submitted: 2001-03-26
   Days after onset:89
Entered: 2001-04-04
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0415AA / UNK LA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Balance disorder, Depression, Difficulty in walking, Dysphagia, Guillain-Barre syndrome, Hypoaesthesia, Hypotonia, Insomnia, Lethargy, Paraesthesia, Weight decreased
SMQs:, Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Demyelination (narrow), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 59 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI; Spinal Tap; Cat Scan of abdomen; Nerve biopsy; Blood work; Doppler of legs-no clots; Colonoscopy-polyps; 24 hour UA
CDC Split Type:

Write-up: On 11/09/00, the patient had a flu vaccine. On 12/27/00, the patient had tingling and prickly feeling in his hands and feet. On 12/28/00, the patient went to the doctors office with decreased feeling in his feet. He made an appt to see the neurologist on 01/02. On 12/29/00, the patient had difficulty waking, with decreased feeling in his legs and feet, and loosing balance. On 12/30/00, the patient called the doctor because loss of sensation was progressing up his legs, arms, and hands. He had difficulty sleeping because of discomfort. 12/31/00, the patient had numbness progressing in his thighs to his hips. The doctor sent him to the ER where he was seen by a neurologist. He was sent for an MRI and return was admission to ICU. On 01/05/01, the patient improved some and was discharged. He was able to use the walker with difficulty. He was evaluated by PT. He had therapy on 01/15,01/18, 01/22 and 01/25, condition declining, he was getting weaker. 01/16/01, More medication was ordered to be given at home for 3 days, an RN came to the house and stayed during treatment. 01/20/01, he felt a little improved. 01/22 & 01/25/00, the patient had PT. 01/26/01, his condition was worse, unable to go upstairs, or walk with a walker without falling. On 01/30/01, he saw a neurologist and was taken to the ER and was admitted and evaluated by referring doctor. The patient was given plasma phoresis prescription on 02/01, 02/02, 02/03, 02/04, 02/05, and 02/07. He had a nerve testing on 02/11 no improvement. On 02/12/00, he was transferred to another hospital via w/ch van for rehab. He had 1 hour of PT in the AM and 1 hour of OT in the PM. The patient''s condition continued to decline. His appetite was poor, he had difficulty swallowing, weight decreased, because he became weaker each day, not eating. 02/20/01, The doctor was notified and the patient was transferred back to the ICU at the original hospital. On 02/21/01, more meds and had a nasogastric tube inserted for feeding. His weight declined from 175 - 137. Still no movement in his legs, moving fingers; continued to improve. On 02/28/01, the patient was transferred out of ICU to a floor unit. He was moving his hands and his arms; able to hold a newspaper. On 03/01/01, doing better, getting OT & PT. Still NPO. Test showed inversion of epiglottis. On 03/02/01, moving arms, able to make a fist, NG tube out and stomach tube inserted via abdomen, sleeping poorly, breathing test improving. On 03/06/01, very lethargic, slept most of the day. 03/08/01, depressed, complains of weakness of arms and legs. Had a sonogram of his leg. 03/09 and 03/10/01 more meds, moving his fingers a little, voice seems stronger.03/11/01, felt like increased strength in his right arm. 03/12/01, he was moving his arms and legs, and able to reach nose. Breathing test 2.6 + 60, chest clear. 03/13/01, weight down to 122, more meds, able to move arm back and forth on tray table (PT). 03/14/01, good spirits, able to move arms and legs but no real control. 03/23/01, patient went home, improving but still unsteady, moving arms and hands, legs still very flaccid. Diagnosed with GBS.


VAERS ID: 168258 (history)  
Form: Version 1.0  
Age: 41.0  
Sex: Female  
Location: Ohio  
Vaccinated:2000-11-20
Onset:2000-11-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / UNK LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Noninfectious diarrhoea (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC Split Type:

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


VAERS ID: 169619 (history)  
Form: Version 1.0  
Age: 40.0  
Sex: Female  
Location: Georgia  
Vaccinated:2000-10-10
Onset:2000-10-13
   Days after vaccination:3
Submitted: 2001-05-02
   Days after onset:201
Entered: 2001-05-09
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR 0406AA / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blood creatine phosphokinase increased, Drug interaction, Gout, Immune system disorder, Myalgia, Oedema peripheral, Red blood cell sedimentation rate increased, Rheumatoid arthritis, Rheumatoid factor, Serum sickness
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zithromax, Cefzil, Glucophage, Loestrin Fe, Plaquenil 200 mg, Naprosyn 500 mg, Lasix, potassium, Ultram, Paxil,
Current Illness: Acute Bronchitis
Preexisting Conditions: Insulin Resistant, Amenorrhea, drug allergies. Allergies: Cephalosporine, Mepergan, Lorcet and Indocin, Mipregan, loreet plus, coflasporin antibiotics, cheddar cheese, peanuts, corn, wheat, mold, fungus
Allergies:
Diagnostic Lab Data: Arthritis panel; lupus test-neg; Sed rate-high; RF-high; CRP-high; nuclear bone scan-no sign of inflammatory arthritis. Per doc 214444, patient states: "I continued to be treated for osteoarthritis and rheumatoid arthritis. My internist refers to me as the ''"medical mystery"''. I have now been referred to another physician, a rheumatologist/Immunologist, several physicians. The flu shot is the investigator in this situation, the shot and the onset of my symptoms cannot be ignored. I have undergone surgery on my right rotator cuff and will undergo surgery on both knees this summer. Blood tests which tend to trend together are not doing so, thus, the mystery remains. Hopefully, the new physician I am scheduled to see on 06/03/2002 will have some answers. Interestingly, 2 others individuals in my hometown began experiencing the same symptoms I am. All 3 of us had flu shots around the same time at onset of symptoms closely following the vaccine. Neither has reported this to VAERS due to their physicians discouraging them to do so. I feel my situation is not uncommon but severely under-reported. A follow up report received 7/6/2001 adds that final diagnosis is rheumatoid arthritis, not Guillain-Barre syndrome. Follow up: patient still on predisone, celebrex, prednisone, activity limited-limps, can''t bend knees-chronic fatigue.
CDC Split Type:

Write-up: On 10/2/00, I had an appt. with my PCP and I was dx''d with acute bronchitis and prescribed Zithromax but after taking this, I still was no better. I saw my PCP again on 10/10/00 and she prescribed Cefzil and administered a flu shot. I told her that I thought a flu shot was not to be given if a pt is sick. She replied that it was ok since I was not running a high-grade fever. I did tell her that I had been feverish prior to this visit. I then told her that I had heard of cases in which a pt received a flu shot and then got the flu. To this, she replied, "Well, you''re sick anyway, so why does is matter?" During this time, I was being treated for Insulin Resistance with Glucophage and Amenorrhea with Loestrin Fe. Three days, post vax, I awoke in the middle of the night, with excruciating pain in my left arm, between my shoulder and elbow. The pain lasted a few days but then started in my right arm, in the same location. Days later, I awoke, late at night, with my hands throbbing and swollen. My doctor prescribed Vioxx, Relafen and Darvocet for pain; with no relief. She admitted that the flu shot could have caused my symptoms. She then referred me to a Rheumatologist. After testing, this doctor was leaning toward a dx of rheumatoid arthritis. I saw 2 Allergists, as well as my Endocrinologist and all 3 doctors told me NEVER to take another flu shot. One of the allergists also dx''d me with "Poisoning by antibiotic." My Endocrinologist dx''d my problem as serum sickness. I now take Plaquenil, Celebrex and prednisone. My Rheumatologist has found WBC in my right knee. One physician feels that my lymphatic system has been attacked as a result of the flu shot. In addition, I have had a flare of gout. It has been one thing after another. The 60 day follow-up report the pt states sed rate continues to be high, last reading was 45. Sed rate is coming down; however, she now has a new internist and rheumatologist; both concurr that she is experiencing an autoimmune reaction to the flu shot as the timing between the flu shot and the onset of my symptoms is too suspicious and cannot nor should not be ignored. The pain in her upper arms was studied via x-rays and MRI''s. She is currently recovering from shoulder surgery; she will see her orthopedic surgen for follow up on 07/30/2001. Insulin resistence. The patient is a 41 year old white female former patient of MD. with a history of insulin resistence, hypertension, obesity and amenorrhea. The patient was initially seen because of weight gain. She was worked up, had thyroid function test, 24-hour urine for cortisol. These were apparently remarkable. She also had an insulin level which was elevated and subsequently she diagnosed as having insulin resistance. The patient returns to the clinic today and reports she is being evaluated by an immunologist because of some joint pain which started several months ago. The patient tells me that her father had diabetes mellitus. Her paternal grandfather and her paternal uncles also have diabetes mellitus. There is no history of dyslipidemia. The patient does have obesity. However she says she is not dieting and has a poor appetite for the past 4 months. She says with diet she was able to lose about 100 pounds. She currently weights 232 pounds and she is 5''8" tall. She is also on Glucophage 850mg t.i.d. The patient does report a history of (white coat hypertension). She also reports that she has irregular periods for about 6 to 9 months now. She says she is on birth control pills for about 15 years. However she was out on birth control pills because of amenorrhea rather than contraception. She says she now has very light periods (2 days only). The patient denies any galacturia, denies any dark pigmentation of the skin. She denies any headaches, denies any focal motor or sensory deficits, denies any peripheral vision cup, diplopia or blurred vision. Otherwise no complaints.


VAERS ID: 169665 (history)  
Form: Version 1.0  
Age: 80.0  
Sex: Female  
Location: New York  
Vaccinated:2000-04-21
Onset:2000-04-25
   Days after vaccination:4
Submitted: 2001-05-01
   Days after onset:371
Entered: 2001-05-10
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4008179 / UNK - / -

Administered by: Public       Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: x-ray 2 different times at the hospital.
CDC Split Type:

Write-up: This patient had pain in the area where her shots were administered. Saw own MD - x-rays (2 times). Orthopedic, Cortisone shot - physical therapy.


VAERS ID: 169880 (history)  
Form: Version 1.0  
Age: 38.0  
Sex: Female  
Location: Florida  
Vaccinated:1995-10-31
Onset:1995-10-31
   Days after vaccination:0
Submitted: 2001-05-09
   Days after onset:2016
Entered: 2001-05-16
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Fatigue, Fibromyalgia, Hypoaesthesia, Myalgia, Pain, Swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Allergies: Eggs, environmental allergies: pollen, trees, can''t remember what else.
Allergies:
Diagnostic Lab Data: H and H low at that time; trigger points-all test positive for F/M
CDC Split Type:

Write-up: This patient had severe generalized fatigue, pain, numbness at many areas of her body; chronic muscle spasms, soft tissue swelling. Diagnosed with fibromyalgia / CFS. The 60 day follow-up states fibromyalgia and chronic fatigue. Per doc 214743, chronic muscle pain, fatigue, disabled, unable to move now for 2 years patient was able to work before. The follow up received on 6/13/01 states, "the pt basically has the same complaints she had last time she was in. Unfortunately, other than for the sleep study and neurologic evaluation by Dr, none of the tests that were ordered at hospital were actually performed. The pt still has chronic fatigue as well as numerous musculoskeletal type pain, most notably in the neck and back. She still has trouble swallowing from time to time, however, she does not wish to undergo work up for this at this time. She has not had fever or headaches. She claims there is some element of depression, although she feels this is probably due to the way she feels. Impression: fibromyalgia, history of thyroid nodule, dysphagia, diffuse back pain most notably affecting the C-spine secondary to fibromyalgia/? concomitant degenerative joint disease or other etiology, allergic rhinitis, status post ablation of accessory pathway for Parkinson-White syndrome, menorrhagia/anemia/stopped iron due to gastirc upset, hypotension on the past couple of visits. Endocrinologic evaluation was recommended to rule out adrenocortical insufficiency. Plan: previously recommende tests will once again be ordered. Encocrinologic evaluation is once again recommended. Check labs. Begin Desipramine 1/2 of 25mg tablet qhs for a week and then 25mg tablet qhs thereafter. Reevaluate in a few weeks or prn." Missing vaccine informaton not available. Follow up: patient states she is permanently disabled, unable to work. Still with symptoms of severe fatigue, and generalized body pain and numbness, mostly on left side of her body.


VAERS ID: 172356 (history)  
Form: Version 1.0  
Age: 79.0  
Sex: Female  
Location: Arizona  
Vaccinated:1998-12-01
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2001-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Abdominal distension, Anaphylactic reaction, Bradyphrenia, Diarrhoea, Dyspnoea, Electrolyte depletion, Headache, Influenza, Nasopharyngitis, Nervousness, Pain, Paralysis, Pyrexia, Rhinorrhoea
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Pseudomembranous colitis (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: electrolyte drop, and more, etc.
CDC Split Type:

Write-up: General paralysis, cloudiness of mind, breathing difficulties, bloating, chronic colds, flu, runny nose, phlegm, aches, pains in muscles, excessive diarrhea, nervousness, headaches, fever, anaphylaxis and more, etc.


VAERS ID: 172391 (history)  
Form: Version 1.0  
Age: 69.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2000-10-06
Onset:2000-10-20
   Days after vaccination:14
Submitted: 2001-05-14
   Days after onset:206
Entered: 2001-06-26
   Days after submission:43
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E68780KA / UNK - / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Asthenia, Cough, Dysarthria, Dysphagia, Paresis, Rhinitis
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-03-20
   Days after onset: 516
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI - neg, Lyme - neg, EMG w/tensilon test - neg
CDC Split Type: PA0147

Write-up: Two weeks following immunizations with flu vaccine developed cough, coryza, weakness over the course of week developed dysarthia, dysphagia with cranial nerve paresis on exam. Diagnosed with ALS. According to 213289, 60 day follow up, patient died 03/20/2002 from ALS, unassociated with flu vaccine. Follow up on 09/18/2001: "The patients right arm was prepped and draped in a sterile fashion. 1% Xylocaine was employed for local anesthesia. A hand injection of contrast through a peripheral angiocath provided opacification of the deep veins of the right arm. The right basilic vein was accessed under fluoroscopic guidance with a micropuncture set. A cook PICC catheter was then trimmed to a length of 36cm and advanced through a peel-away sheath into the SVC. A hand injection of contrast through the catheter reveals the tip in the superior vena cava. The catheter was flushed and sutured in place. The catheter was then heparinized with 400 units Heparin and the patient was returned to the post-operative lounge in stable condition. "


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