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From the 1/7/2022 release of VAERS data:

Found 4,214 cases where Vaccine targets Influenza (FLU(H1N1) or FLU3 or FLU4 or FLUA3 or FLUA4 or FLUC3 or FLUC4 or FLUN(H1N1) or FLUN3 or FLUN4 or FLUR3 or FLUR4 or FLUX or FLUX(H1N1) or H5N1) and Disabled

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Case Details

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VAERS ID: 213063 (history)  
Form: Version 1.0  
Age: 82.0  
Sex: Female  
Location: Virginia  
Vaccinated:2003-10-25
Onset:2003-10-25
   Days after vaccination:0
Submitted: 2003-11-20
   Days after onset:26
Entered: 2003-11-26
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES 765707 / UNK LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Cerebrovascular accident, Diabetes mellitus, Dizziness, Gait disturbance, Hemiparesis, Hypertension
SMQs:, Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic 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), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Hypertension (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Vestibular disorders (broad), Hypoglycaemia (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? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type:

Write-up: 30 minutes after receiving flu shot (patient was at home by then), complained of feeling lightheaded. After 2 hours told her daughter, who noted left sided weakness. Patient admitted to hospital with diagnosis of right CVA; hospital for 7 days, then in rehab facility. The discharge summary state diabetic, and hypertensive. Recover partially (according to daughter) has residual weakness- uses a walker, needs 24 personal care assistance.


VAERS ID: 213233 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2003-11-06
Onset:2003-11-11
   Days after vaccination:5
Submitted: 2003-11-24
   Days after onset:13
Entered: 2003-12-02
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1140AA / 1 LL / -

Administered by: Private       Purchased by: Other
Symptoms: Muscular weakness, Myelitis transverse, Neurogenic bladder, Paralysis, Urinary incontinence
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Naprosyn
Current Illness: Muscle strain
Preexisting Conditions: Back pain.
Allergies:
Diagnostic Lab Data: MRI of spine-transverse myelitis.
CDC Split Type:

Write-up: Pt presented to my office one week after her flu shot with lower extremities paralysis and loss of bladder control. She was hospitalized for one week on high dose steroids and is currently in a rehab facility. MRI of spine-transverse myelitis. Neurogenic bladder lower extremity weakness.


VAERS ID: 213415 (history)  
Form: Version 1.0  
Age: 45.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2003-10-14
Onset:2003-10-26
   Days after vaccination:12
Submitted: 2003-11-26
   Days after onset:31
Entered: 2003-12-03
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES 765180 / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Hypoaesthesia, Laboratory test abnormal, Muscle spasms, Myelitis transverse, Pain, Paraesthesia, Paraplegia, Urinary retention
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Guillain-Barre syndrome (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (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, 19 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Mildly abnormal thyroid function test, hypothyroid.
Allergies:
Diagnostic Lab Data: Viral titers and PCR''s negative; MRI thoracic spine 11/9/03; Central cord abnormality from T7 to T11 and mildly swollen cord; CSF: High protein and high myelinbasic protein.
CDC Split Type:

Write-up: Patient had flu vaccine on 10/14/03. On 10/26/03, she developed numbness and tingling in feet which gradually moved up legs to waist. On 11/5/03, developed progressive weakness in legs and back spasms. On 11/3/03, she was unable to walk and had urinary retention, and was admitted. She could still move feet on admission. She was started on IV Solumedrol. Was completely paraplegic on 10/10/03. Now plasma exchange for transverse myelitis. The medical record received on 3/23/04 states burning pain. She is still paraplegic and has no movement or sensation in her legs. It is uncertain if the myelitis is due to the flu vaccine. Per annual report she remains completely paraplegic with no movement or sensation in her legs. Her last MRI 06/21/2004 showed very significant atrophy of the lower thoracic spinal cord.


VAERS ID: 213654 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Male  
Location: Michigan  
Vaccinated:2003-10-03
Onset:2003-10-18
   Days after vaccination:15
Submitted: 2003-12-08
   Days after onset:51
Entered: 2003-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES 765415 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Back pain, CSF test abnormal, Cholecystitis, Gastritis, Guillain-Barre syndrome, Hyperglycaemia, Paraesthesia, Thrombophlebitis, Urinary retention, Urinary tract infection
SMQs:, Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (narrow), Infectious biliary disorders (narrow), Gallbladder related disorders (narrow), Guillain-Barre syndrome (narrow), Gastrointestinal nonspecific inflammation (narrow), Demyelination (narrow), 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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Denies
Preexisting Conditions: Degenerative disc disease, lumbar stenosis, hyperlipidemia, hypertension. UTI history at onset (GBS follow-up survey).
Allergies:
Diagnostic Lab Data: CSF abnormal
CDC Split Type:

Write-up: Wife reports while on vacation patient experienced tingaling in hands and legs, returned home, follow-up with physician, progressive deterioration, hospitalized Oct. 31. Now in rehab. The discharge summary received on 1/28/04 states Guillain-Barre syndrome, urinary tract infection, urinary retention, hyperglycemia, gastritis, cholecystitis, back pain, and thrombophlebitis.


VAERS ID: 213846 (history)  
Form: Version 1.0  
Age: 59.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2003-10-02
Onset:2003-10-17
   Days after vaccination:15
Submitted: 2003-12-09
   Days after onset:53
Entered: 2003-12-11
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR O1255AA / 2 RA / IM
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0256H / 1 LA / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Joint stiffness, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune 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: HBP; Cerebral blood clot; Allergy; Depression;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Knots, swelling, stiffness at ankles, knees and hands. Arthritis; prescribed Naproxen. Nurse follow up on 06/08/04 states: add, arthralgia.


VAERS ID: 214148 (history)  
Form: Version 1.0  
Age: 42.0  
Sex: Male  
Location: Maryland  
Vaccinated:2003-10-26
Onset:2003-10-27
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2003-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES 765707 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Deafness, Hearing impaired
SMQs:, Hearing impairment (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: NONE
Current Illness: NONE
Preexisting Conditions: Tinnitus for the past 5 years
Allergies:
Diagnostic Lab Data:
CDC Split Type: PJP200300964

Write-up: A report was received from a health care professional on 10/31/2003, concerning a 43 or 44 year old male vaccinee who was deaf 3 days after receiving Fluvirin on 10/24/03. On 10/27/03, the vaccinee was completely deaf after receiving Fluvirin on 10/24/03. The vaccinee has consulted with an ENT specialist and has further appointments scheduled with the specialist. The reporter indicated that the vaccinee has experienced tinnitus for the past 5 years. The vaccinee is not taking any concomitant medications and has no known drug allergies. The reporter indicated that the vaccinee has received the influenza vaccine each year for the past 5 years and experienced no hearing impairments. This is the first year the vaccinee has received Fluvirin influenza vaccine. There was insufficient information to determine the reporter''s causality assessment. Update: 12/05/03: Further information received from a health care professional indicated that the vaccinee was 42 years old and experienced sudden hearing loss in his right ear, which was disabling, 24 hours after receiving Fluvirin on 10/26/03. The vaccinee had not recovered at the time of this report. The reporter has assessed the relationship of the vaccine to the event as probable. Follow up pending. The 15-day follow up received on 1/13/04 states further info received from a health care professional indicated that the vaccinee was still diabled and deafness was permanent on testing on two occasions. Follow up pending.


VAERS ID: 214263 (history)  
Form: Version 1.0  
Age: 55.0  
Sex: Male  
Location: Texas  
Vaccinated:2003-11-19
Onset:2003-12-04
   Days after vaccination:15
Submitted: 2003-12-18
   Days after onset:14
Entered: 2003-12-23
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES 765409 / 1 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Deafness, Hearing impaired, Hyperglycaemia, Nausea, Nystagmus, Tinnitus, Vertigo, Viral infection
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Vestibular disorders (narrow), Ocular motility 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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: benign prostatic hypertrophy
Allergies:
Diagnostic Lab Data: MRI neg for masses on signs of stroke Discharge summary states hyperglycemia. msv
CDC Split Type:

Write-up: Hearing loss right ear 12/4/03 7pm. Vertigo and nausea 12/5/03 2am. Hospitalized 12/5 to 12/8/03. Hearing loss, vertigo remain. The medical record received on 2/17/04 states tinnitus, and beating nystagmus. Permanent hearing loss one ear. Persistent vertigo. Per annual report- permanent hearing loss (deafness) in one ear and residual vertigo. Discharge summary sttes viral infection. msv


VAERS ID: 214602 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Female  
Location: California  
Vaccinated:2003-12-01
Onset:2003-12-16
   Days after vaccination:15
Submitted: 2004-01-02
   Days after onset:17
Entered: 2004-01-05
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1172AA / 1 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Anxiety, CSF test abnormal, Coagulopathy, Diplopia, Encephalitis, Gait disturbance, Headache, Hyperglycaemia, Meningitis, Myalgia, Nausea, Nystagmus, Paralysis, Pyrexia, Tremor, Urinary tract infection, Vertigo, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (narrow), Ocular motility disorders (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Urinary Tract infection treated with ciprofloxacin
Preexisting Conditions: H/O periodic weakness r/o multiple sclerosis (doubted); asthma
Allergies:
Diagnostic Lab Data: LP; MRI; abnormal CSF
CDC Split Type:

Write-up: ADEM. The discharge summary received on 1/12/03 states viral meningitis; decreased oral intake; headache; difficulty ambulating; UTI; urinary retention; anxiety; hyperglycemia; thrombocytopenia and coagulopathy. The neuro consult received on 1/12/04 states myalgia, diplopia, vergigo, fever, nausea/vomiting, nystagmus, 6th nerve palsy, and tremulous. 60-day follow up on 03/24/04: "It is unknown if pt recovered from adverse events."


VAERS ID: 214730 (history)  
Form: Version 1.0  
Age: 59.0  
Sex: Male  
Location: Maryland  
Vaccinated:2001-12-01
Onset:2001-12-24
   Days after vaccination:23
Submitted: 2004-01-06
   Days after onset:743
Entered: 2004-01-08
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Private       Purchased by: Other
Symptoms: Anxiety, Depression, Diplopia, Dysarthria, Eye disorder, Facial palsy, Gait disturbance, Glomerulonephritis, Guillain-Barre syndrome, Laboratory test abnormal, Muscular weakness, Nephrotic syndrome, Oedema peripheral
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Demyelination (narrow), Corneal disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (narrow), Hearing impairment (broad), Ocular motility disorders (broad), Chronic kidney disease (broad), Proteinuria (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? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 26 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amatadine; Comtan; Lasix; Levaquin; Lodine; Mirapex; Sinemet
Current Illness: Sinusitis
Preexisting Conditions: Back pain, Parkinson''s disease diagnosed in 1994, sciatica, peripheral edema, nephrotic syndrome, hyponatraemia, and a hypersensitivity to NSAIDS. Past surgical history is significant for a spinal laminectomy performed in 1999 for low back pain. The pt''s mother died of cancer at the age of 68 years. The pt denies tobacco, alcohol, or drug use.
Allergies:
Diagnostic Lab Data: Upon admission to the ER, the pt''s physical examination revealed a body temp of 96.4 deg F; blood pressure 150/94; pulse 100 and respirations 28. The pt had sacrral and bilateral 1-2+ pedal edema of the lower extremities, as well as, lower extremity weakness. He was alert and oriented to person, place and time. A CT scan of the head was performed; the results were normal except for mild ethmoid inflammation. There was no evidence of intracranial hemorrhages or masses. A complete blood count was performed: the results are as follows: WBC 8.5; Hgb 15.0; Hct 39.9; platelets 282. An erythrocyte sed rate was 56. Blood chemistries were performed: the results are as follows: glucose 117; BUN .5; creatinine .9; sodium 127; potassium 4.3; chloride 98; and carbon dioxide 24. A lumbar puncture was performed: the results are as follows: the cerebrospinal fluid was clear; total protein 275 and there were no WBC''s. The physician indicated that the pt''s cranial nerve palsies could be indicative of Lyme meningitis versus Guillain Barre syndrome. Due to the "increased total protein in the CSF" without WBC, the physician''s clinical impression was acute Guillain Barre Miller Fisher Varient. The pt''s negative inspiratory force was 60. Upon admission to that facility, the pt''s physical examination revealed a body temp was 36.9 deg C; blood pressure 142/81; and respirations 20. The pt was alert, awake, and pleasant though dysarthic speech was noted as well as bilateral facial droop. The lungs were clear. Heart was regular rate and rhythm. Abdomen was soft, nontender, nondistended, with good bowel sounds. There was trace edema in both extremities. On neurological examination, the strength in the upper extremities was 5/5 bilaterally, lower extremities was 4+/5. Deep tendon reflexes in the upper extremities were 1+ symetrically and were absent in the lower extremities. The bilateral Babinski reflexes were downgoing. The pt''s sensation was intact but decreased to pinprick, percussion and vibratory sense. Finger-to-toe was intact bilaterally and gait was somewhat wide-based. An unspecified MRI was performed; the results were as follows: degenerative disc disease at L2, 3-4, 4-5, and 5-6. An MRI of the head was performed; the results are as follows: there were a few, nonenhancing, subcentimeter foci of FLAIR and T2 prolongation involving bilateral periventricular white matter. There was no mass or mass effects. The brain morphology appeared unremarkable. There was no pathological enhancement or evidence of acute or hyperacute ischemia. Incidental note was made of mutifocal various amounts of T2 hyperintesity involving bilateral ethmoid air cells. There was no evidence for hemorrhage or hemorrhage products. An MRA revealed no evidence of stenosis, aneurysm, or focal ectasia. On 1/7/02, the results of the Lyme test on the CSF fluid showed the following: Gram stain showed rare white blood cells and the body fluid culture revealed no definite organisms and rare white blood cells. syndrome. A renal biopsy was performed; the results revealed membraneous glomerulonephritis.
CDC Split Type: HQWYE960230DEC03

Write-up: A legal complaint was received from an attorney alleging that a 59 year old male received an injection of Flu shield on an unspecified date in December 2001. It is alleged that the plaintiff developed Guillain Barre syndrome. According to the medical records, the pt presented to an emergency room on 12/26/01, with a two day history of bilateral facial weakness, difficulty closing his eyes, slurred speech secondary to mouth and labial weakness, difficulty drinking and eating "food and liquids falls out of mouth," and decreased ability to stand from a sitting positing. The pt denied double vision, headaches, loss of consciousness, seizures, or any other symptoms. He had recently been diagnosed with sinusitis and had started a course of Levaquin seven days prior to admission. Upon admission to the ER, the pt''s physical examination revealed a body temp of 96.4 deg F; blood pressure 150/94; pulse 100 and respirations 28. The pt had sacrral and bilateral 1-2+ pedal edema of the lower extremities, as well as, lower extremity weakness. He was alert and oriented to person, place and time. A CT scan of the head was performed; the results were normal except for mild ethmoid inflammation. There was no evidence of intracranial hemorrhages or masses. A complete blood count was performed: the results are as follows: WBC 8.5; Hgb 15.0; Hct 39.9; platelets 282. An erythrocyte sed rate was 56. Blood chemistries were performed: the results are as follows: glucose 117; BUN .5; creatinine .9; sodium 127; potassium 4.3; chloride 98; and carbon dioxide 24. A lumbar puncture was performed: the results are as follows: the cerebrospinal fluid was clear; total protein 275 and there were no WBC''s. The physician indicated that the pt''s cranial nerve palsies could be indicative of Lyme meningitis versus Guillain Barre syndrome. Due to the "increased total protein in the CSF" without WBC, the physician''s clinical impression was acute Guillain Barre Miller Fisher Varient. The pt''s negative inspiratory force was 60. The physician recommended that the pt be admitted to ICU and treatment should include IVIG versus plasmaphoresis. On that same day, the pt was transferred via helicopter to another facility for admission and evaluation. Upon admission to that facility, the pt''s physical examination revealed a body temp was 36.9 deg C; blood pressure 142/81; and respirations 20. The pt was alert, awake, and pleasant though dysarthic speech was noted as well as bilateral facial droop. The lungs were clear. Heart was regular rate and rhythm. Abdomen was soft, nontender, nondistended, with good bowel sounds. There was trace edema in both extremities. On neurological examination, the strength in the upper extremities was 5/5 bilaterally, lower extremities was 4+/5. Deep tendon reflexes in the upper extremities were 1+ symetrically and were absent in the lower extremities. The bilateral Babinski reflexes were downgoing. The pt''s sensation was intact but decreased to pinprick, percussion and vibratory sense. Finger-to-toe was intact bilaterally and gait was somewhat wide-based. An unspecified MRI was performed; the results were as follows: degenerative disc disease at L2, 3-4, 4-5, and 5-6. An MRI of the head was performed; the results are as follows: there were a few, nonenhancing, subcentimeter foci of FLAIR and T2 prolongation involving bilateral periventricular white matter. There was no mass or mass effects. The brain morphology appeared unremarkable. There was no pathological enhancement or evidence of acute or hyperacute ischemia. Incidental note was made of mutifocal various amounts of T2 hyperintesity involving bilateral ethmoid air cells. There was no evidence for hemorrhage or hemorrhage products. An MRA revealed no evidence of stenosis, aneurysm, or focal ectasia. There was probable air fluid in the right sphenoid sinus and probable multifocal ethmoid sinus disease. On 1/7/02, the results of the Lyme test on the CSF fluid showed the following: Gram stain showed rare white blood cells and the body fluid culture revealed no definite organisms and rare white blood cells. A diagnosis of Guillain Barre syndrome was made. The pt was plasmapheresed five times over the course of the hospitalization. He was examined by an opthalmoligist for diplopia, the cause of which was concluded to be Guillain Barre syndrome. The pt was examined by a nephrologist for his history of nephrotic syndrome. A renal biopsy was performed; the results revealed membraneous glomerulonephritis. The pt''s hospital course was unremarkable and he steadily "recovered" some of his motor function. His facial droop was markedly reduced but still noticeable bilaterally and his speech was much less dysrthric. On 1/10/02, the pt was considered "stabilized" and discharged from the hospital. Discharge medications included pre-admission medications plus Lipitor, Lacri-Lube, Zestril, Senakot, Peri-Colace and Vicodin. The pt was scheduled as an outpatient for speech therapy, nephrology and an EMG. The legal complaint alleges that as a result of the lips; permanent impaired vision; permanent inability to control his mouth causing biting of lips and cheeks; permanent inability to control muscles while eating and drinking; and permanent depression and anxiety.


VAERS ID: 214813 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Female  
Location: Washington  
Vaccinated:2002-11-07
Onset:2002-11-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2004-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0920AA / UNK LA / -

Administered by: Private       Purchased by: Other
Symptoms: Asthenia, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Guillain-Barre syndrome (broad), 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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Norpramin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Muscle aches in upper arm and neck for months. Sharp stabbing pains yet in upper arm, and weakness.


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