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From the 4/8/2021 release of VAERS data:

Found 3,798 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: 183661 (history)  
Form: Version 1.0  
Age: 62.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2000-12-13
Onset:2000-12-13
   Days after vaccination:0
Submitted: 2002-04-12
   Days after onset:484
Entered: 2002-04-18
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR V0488AA / UNK LA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / UNK RA / IM

Administered by: Private       Purchased by: Other
Symptoms: Injection site pain, Pain, Paralysis flaccid, Respiratory disorder
SMQs:, Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Extravasation events (injections, infusions and implants) (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Respiratory failure (broad)

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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Several ENG''s and other neurological function tests
CDC Split Type:

Write-up: Immediate severe pain, burning and throbbing sensation, followed by gradual paralysis of 1st the injected limb, then the other side, as well as her respiratory system. Pt is now on ventilator, suffering from upper body paralysis. Has permanent motor neuron disease.


VAERS ID: 183890 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Kentucky  
Vaccinated:2000-11-03
Onset:0000-00-00
Submitted: 2002-05-20
Entered: 2002-04-25
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH U0421AA / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Emotional distress, Pain
SMQs:, Depression (excl suicide and self injury) (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: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: HQ1939019APR2002

Write-up: An attorney alleges that a female received an injection of Flu Shield (200-2001 formula) on or about 11/03/2000 and subsequently suffered an unspecified serious and permanent bodily injury. It is alleged that she subsequently suffered physical and mental pain, permanent bodily disfigurement, and permanent impairment of her ability to labor and earn money. No further info was available at the date of this report. The follow up states this report was determined to be a duplicate of report HQ5486904SEP2001.


VAERS ID: 183921 (history)  
Form: Version 1.0  
Age: 54.0  
Sex: Female  
Location: Indiana  
Vaccinated:2001-11-15
Onset:2001-11-18
   Days after vaccination:3
Submitted: 2002-04-21
   Days after onset:153
Entered: 2002-04-26
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0678CA / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Hypokinesia, Injection site oedema, Injection site pain, Injection site reaction, Neuritis, Pain, Sleep disorder
SMQs:, Peripheral neuropathy (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Immune-mediated/autoimmune 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: The pt reports that "three days after I received the I began to experience difficulty moving my left arm. I noticed the pain to be different from injection point tenderness or general muscular ache but thought it was probably just a variation of the norm. The pain increased to the point where I was barely able to abduct the arm or bear any weight and my ability to work was severely impaired. I saw my primary care physician 11/20/2001 who prescribed a nine day course pf Prednisone. That treatment gave me almost complete relief from the pain and loss of mobility. Four to five days after completing the course of Prednisone the symptoms and pain returned. The pain increased, it involved my entire shoulder and hsoulder blade area, I was not able to sleep through the night and no matter what I did I couldn''t find relief. I called my primary care physician who referred me for orthopedic consultation. On 12/10/2001 the orthopod decided to retreat me with a longer course of Prenisone. Again I experienced almost full relief while on the medication, but the symptoms returned within a week of ending the medication. I did not like the side effects I had experienced on the longer course of Prednisone and since the improvement wasn''t sustained, I tried to find other sources of relief from the pain. I worked with a massage therapist for over a month who subsequently advised me to return to a physician because the area was not responding to the treatment. On 02/22/2001, I returned to the orthopod who diagnosed the condition as a "chemical induced neuritis" and prescribed physical therapy and medication for the pain. The electric current therapy has greatly reduced the pain but I still experience swelling in my left axilla and some loss of motion. I continue to do home exercises and have regular massage therapy. I am not pain free.


VAERS ID: 183944 (history)  
Form: Version 1.0  
Age: 28.0  
Sex: Male  
Location: Unknown  
Vaccinated:2001-11-14
Onset:2001-11-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2002-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES 760194 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abasia, Dehydration, Fatigue, Gingival hypertrophy, Headache, Hypoaesthesia, Myelitis transverse, Paralysis, Pharyngolaryngeal pain, Pyrexia, Tonsillitis, Vomiting
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Oropharyngeal infections (narrow), Gingival disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow), Immune-mediated/autoimmune disorders (narrow)

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, 15 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PJP200200019

Write-up: A report was received from a consumer on 1/7/02, concerning a 28 year old male pt who experienced headaches, sore throat, tonsillitis, vomiting and numbness from the chest down, 36 hours after receiving the Fluvirin vaccine on 11/14/01, which resulted in hospitalization and disability. He also, at one point, was unable to move his right leg. 16 days, post vax, the pt was admitted to the hospital on the 11/30/01 and remained there for 3 weeks. The pt had not recovered at the time of reporting. There was insufficient information to determine the reporter''s causality assessment. A follow-up report was received on 1/28/02. Further to the symptoms already noted, the pt experienced a severe reaction to the Fluvirin vaccine resulting in swelling of gums, fever, dehydration, chills (shivering) and the inability to control body temperature, tiredness and lack of energy, at the time of reporting, his vomiting meant he could not take any liquids, he suffered pins and needles/numbness all over the body below T3. His inability to move his right leg meant he could not walk for several weeks. At the time of reporting, the pt had ongoing numbness of the right leg and right side. He was dx''d with transverse myelitis. The pt was discharged from the hospital on 12/19/01. A 2nd follow-up report was received from a health professional on 4/15/02. A consultant neurologist dx''d the pt with transverse myelitis. The pt was admitted to the hospital on 12/5/01 and was discharged on 12/20/01. At the time of reporting, the pt''s condition had "settled to almost complete resolution" but minor numbness at the front of the leg remains. The pt has no previous relevant previous history and was taking no concurrent medications at the time of the event. The reporter assessed the causality as probable.


VAERS ID: 184240 (history)  
Form: Version 1.0  
Age: 34.0  
Sex: Female  
Location: Oregon  
Vaccinated:2000-12-01
Onset:0000-00-00
Submitted: 2002-05-01
Entered: 2002-05-07
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0345AC / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Back pain, Dyspnoea, Headache, Myelitis transverse, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: U200200296

Write-up: It was reported that a female pt received a dose of flu vaccine in December 2000 at a flu clinic where she resides. Lot number for vaccine is not available. Pt was diagnosed with Transverse myelitis shortly after she received vaccine. This information was reported by the pt''s sister in behalf of the pt. When asked to provide more information, she stated that she would prefer her sister to call directly to provide additional information. The patient reported that she was 36 years old when this event occurred. Vaccine received was fluzone lot# U0345AC, date administerted 11/21/00. On 12/17/00 symptoms of back ache between shoulder blades, massive headache bagan. By the next day, pain radiated to right hand (numbness also present), difficulty breathing, legs became numb, she thought it was ashtma attack but her inhalers would not work. She was tranported to the hospital by ambulance. She was admitted on 12/19/00 and was in ICU on ventilator for two months. She was released to a rehabilitation facility approximately two months later, still on ventilator with tracheostomy. On 7/17/01 she was released from rehabilitation. Currently she still has limited use of her arms (right is worse than her left. She can walk with a quad cane and leg brace. She has a foley catheter, and her sensory perception is very limited from her shoulders down through her legs. From correspondence received at manufacturer on 5/13/02, it was determined that the code for difficulty breathing needed to be added to the COSTART listing.


VAERS ID: 184648 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Male  
Location: Arizona  
Vaccinated:2001-12-01
Onset:2002-01-01
   Days after vaccination:31
Submitted: 2002-05-06
   Days after onset:124
Entered: 2002-05-16
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0601AA / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC Split Type:

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


VAERS ID: 185520 (history)  
Form: Version 1.0  
Age: 63.0  
Sex: Male  
Location: Virginia  
Vaccinated:2000-01-04
Onset:2000-01-24
   Days after vaccination:20
Submitted: 2002-05-24
   Days after onset:850
Entered: 2002-05-29
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4998253 / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Anger, Asthenia, Cerebrovascular disorder, Guillain-Barre syndrome, Hypotension, Laboratory test abnormal, Pain, Paraesthesia, Paralysis
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Hostility/aggression (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Dehydration (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (narrow)

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: Bumetanide, Cozaar, Glucotrol, Lipitor.
Current Illness: UNK
Preexisting Conditions: Diabetes, hypertension, asthma Medical records state cerebral atrophy, cervical spondilosis, hypercholesteremia, arthritis, renal insufficiency, reactive airway disease. msv
Allergies:
Diagnostic Lab Data: Electromyogram (EMG) 06/12/2000 Limited due to pt''s intolerance of examination; right biceps and right pronator terres muscles were normal. Nerve conduction studies abnormal (LLT: motor nerve conduction studies abnormal) 06/12/2000 Bilateral upper and lower extremities: polyneuropathy with axonal and demyelinating features. Nuclear magnetic resonance imaging brain (LLT:MRI brain) 01/27/2000 Unremarkable; results do not exclude Guillain-Barre disease. Scan NOS brain (LLT:CT brain scan) 01/26/2000 Mild cerebral atrophy with no evidence of tumor, intracranial hemorrhage, or infarct. Medical records state abnormal lab tests. msv
CDC Split Type: HQ2424423MAY2002

Write-up: An adult male alleges that he received an injection of FluShield vaccine "on or about" 01/04/2000 and developed "severe personal injuries, including paralysis from Guillain-Barr? syndrome," 2 to 3 weeks post-vaccination. He also alleges that he "suffered great physical pain and mental anguish due to such injuries" and claims that "he has been left with permanent residual deficits." No further info was available at the date of this report. This report of a serious, labeled event is being submitted in a 15-day time frame as requested by FDA. A 15-day follow up report received 04/23/2003 adds: Follow-up medical records received on 04/10/2003 via the pt''s attorney provided medical history, concomitant medications, an event onset date, pt age at event, pt date of birth, dates of hospitalization, laboratory test results, and event course. A legal complaint was received from an attorney regarding a 63 year-old white male pt who received an injectin of FluShield vaccine on 01/04/2000. Concomitant therapy included Cozaar (Losartan potassium) and bumetanide for hypertension; Glucotrol (glipizide) for non-insulin-dependent diabetes, and Lipitor (atorvastatin) for hypercholesterolemia. The pt''s medical history also includes smoking, renal insufficiency, and asthma. On 01/24/2000, the pt developed paresthesias in his legs with progressive weakness as well as tingling in this hands and facial area around his lips. On 01/26/2000, he was hospitalized in the intensive care unit to rule out Guillain-Barre syndrom/acute inflammatory demyelinating polyneuropathy, rule out cervical myelopathy. A CAT scan of the brain performed that day revealed mild cerebral atrophy with no evidence of tumor, intracranial hemorrhage, or infarct. On 01/27/2000, the pt was transferred to the intensive care unit of a second hospital facility for plasmaphoresis. An MRI of the brain performed that day was unremarkable; however, Guillain-Barre syndrom was not excluded. While hospitalized, the pt received 6 courses of plasmaphoresis and made ''slow but gradual'' improvement of his numbness and weakness, with greater strength in his upper extremities than in his lower extremities. He reportedly ''responded well'' to physical therapy. On 02/10/2000, he was discharged with a final diagnosis of Guillain-Barre syndrome to a rehabiitation facility for physical therapy. He was subsequently discharge home with a walker. Motor nerve conduction studies of the bilateral upper extremities and bilateral lower extremities performed on 06/12/2000 were ''markedly abnormal'' and demonstrated polyneuropathy with axonal and demyelinating features. EMG of the right upper extremity was limited due to the pt''s intoleerance to the examination but revealed normal right biceps and right pronator teres muscles. A physician''s note dated 10/11/2000 indicated that the pt has permanent impairment of strength. This report of a serious, labeled event is being submitted in a 15-day time frame as requested by FDA. Follow up on 08/15/2003: "Additional information was received from the plaintiff''s attorney on 08/04/2003. A medical consultant reviewed the patient''s hospital admissions and medical records sent to him by counsel covering the time period of 01/27/2000-12/06/2000 and provided additional laboratory results. He noted an MRI of the patient''s spine on 01/27/2000 showed degenerative changes and small herniation at T8-T9. A legal complaint was received from an attorney regarding a 63 year old white male patient who received an injection of FluShield vaccine on 01/04/2000. Concomitant therapy included Cozaar and bumetanide for hypertension; Glucotrol for non-insulin-dependent diabetes; and Lipitor for hypercholesterolemia. The patient''s medical history also includes smoking, renal insufficiency, and asthma. On 01/24/2000, the patient developed paresthesias in his legs with progressive weakness as well as tingling in his hands and facial area around his lips. On 01/26/2000, he was hospitalized in the intensive care unit to rule out Guillian-Barre syndrome/acute inflammatory demyelinating polyneuropathy, rule out cervical myelopathy. A CAT scan of the brain performed that day revealed mild cerebral atrophy with no evidence of tumor, intracranial hemorrhage, or infarct. On 01/27/2000, the patient was transferred to the intensive care unit of a second hospital facility for plasmaphoresis. An MRI of the brain performed that day was unremarkable; however, Guillian-Barre syndrome was not excluded. While hospitalized, the patient received 6 courses of plasmaphoresis and made "slow but gradual" improvement of his numbness and weakness, with greater strength in his upper extremities than in his lower extremities. He reportedly "responded well" to physical therapy. On 02/10/2000, he was discharnged with a final diagnosis of Guillian-Barre syndrome to a rehabilitation facility for physical therapy. He was subsequently discharged home with a walker. Motor nerve conduction studies of the bilateral upper extremities and bilateral lower extremities performed on 06/12/2000 were "markedly abnormal" and demonstrated polyneuropathy with axonal and demyelinating features. EMG of the right upper extremity was limited due to the patient''s intolerance to the examination but revealed normal right biceps and right pronator teres muscles. A physician''s note dated 10/11/2000 indicated that the patient has permanent impairment of strength. This report of a serious, labeled event is being submitted in a 15-day time frame as requested by FDA. A 15-day follow up report received 08/14/2003 adds: Additional info was received from the plaintiff''s attorney on 08/04/2003. A medical consultant reviewed the pt''s hospital admissions and medical records sent to him by counsel covering the time period of 01/27/2000 through 12/06/2000 and provided additional laboratory results. He noted an MRI of the pt''s spine on 01/27/2000 showed degenerative changes and small herniation at T8-T9. A legal complaint was received from an attorney regarding a 63-year-old male pt who received an injection of FluShield vaccine on 01/04/2000. Concomitant therapy included Cozaar (losartan potassium) and bumetanide for hypertention; Glucotrol (glipizide) for non-insulin-dependent diabetes; and Lipitor (atorvastatin) for hypercholesterolemia. The pt''s medical history also includes smoking, renal insufficiency and asthma. On 01/24/2000, the pt developed paresthesias in his legs with progressive weakness as well as tingling in his hands and facial area around his lips. On 01/26/2000 he was hospitalized in the intensive care unit to rule out Guillain-Barre syndrome/acute inflammatory demyelinating polyneuropathy, rule out cervical myelopathy. A CAT scan of the brain performed that day revealed mild cerebral atrophy with no evidence of tumor, intracranial hemorrhage, or infarct. On 01/27/2000 the pt was transferred to the intensive care unit of a second hospital facility for plasmaphoresis. An MRI of the brain performed that day was unremarkable; however, Guillain-Barre syndrome was not excluded. While hospitalized, the pt received 6 courses of plasmaphoresis and made "slow but gradual" improvement of his numbness and weakness, with greater strength in his upper extremities than in his lower extremities. He reportedly "responded well" to physical therapy. On 02/10/2000 he was discharged with a final diagnosis of Guillain-Barre syndrome to a rehabilitation facility for physical therapy. He was subsequently discharged home with a walker. Motor nerve conduction studies of the bilateral upper extremities and bilateral lower extremities performed on 06/12/2000 were "markedly abnormal" and demonstrated polyneuropathy with axonal and demyelinating features. EMG of the right upper extremity was limited due the the pt''s intolerance to the examination but revealed normal right biceps and right pronator teres muscles. A physician''s note dated 10/11/2000 indicated that the pt has permanent impairment of strength. This report of a serious, labeled event is being submitted in a 15-day time frame as requested by FDA. Medical records state weakness, hypotension. msv


VAERS ID: 185824 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:1996-10-21
Onset:1996-10-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom
SMQs:, Optic nerve disorders (broad), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed the relationship of study medication to the events as unknown.


VAERS ID: 186189 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Kentucky  
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted: 2002-06-06
Entered: 2002-06-10
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / UNK RA / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Dyskinesia (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (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), Hypersensitivity (broad), Arthritis (broad), Respiratory failure (narrow), Hypokalaemia (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


VAERS ID: 188628 (history)  
Form: Version 1.0  
Age: 2.25  
Sex: Unknown  
Location: Texas  
Vaccinated:2001-07-10
Onset:2001-07-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2002-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR - / UNK - / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / UNK - / SC
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Autism, Blindness, Convulsion, Deafness, Drug toxicity, Infantile spasms, Mental retardation severity unspecified
SMQs:, Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Drug abuse and dependence (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Neonatal disorders (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Pt''s hair was tested in which pt had a mercury level of 4.9ppm, which is well above the environmental protection agency 1ppm action level for mercury toxicity. Pt has not been exposed to any heavy metals, lead paint or consumed fish. Hair was tested via a technique called neutron activation analysis to detect various chemicals in hair.
CDC Split Type:

Write-up: My daughter was given the following vaccines on 07/10/01: (1) DTaP, Tripedia, (2) Influenza, (3) hepatitis B. All these vaccines continued "Thimerosal," the very next day after the vaccines were given, my daughter had seizures. I have a detailed contemporaneous medical record that explain in detail this vaccine injury and the medical expert linked the mercury in thimerosal vaccine or causing my daughter permanent injuries. My daughter had a serious vaccine reaction that cannot be overlooked. I was informed to contact you because you monitor the safety of licensed vaccines. The attached medical report clearly reflects that the adverse event occurring after vaccination was actually caused by the vaccination. On 07/11/01, the next day after pt received the vaccines, pt began having seizures and was admitted to hospital from 07/11/01 to 07/14/01 and treated by a neurologist. It was determined that pt was having seizures diagnosed as "infantile spasms," which continued until 9/25/01 and permanently injured pt. Pt is blind in both eyes and deaf in both ears and mentally retarded caused by the infantile spasms. Diagnosis: blind, deaf, mentally retarded, autism. The dangerous mercury levels combined in all vaccines given o pt on 07/10/01 caused pt''s immediate seizures the next day on 07/11/01. Pt was experiencing a normal childhood development until 07/10 & 11/2001, such drastically changed after receiving the vaccines containing Thimerosal. Pt demonstrated autistic like symptoms (infantile spasms) after receiving the injections, such infantile spasms.


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