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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: 229966 (history)  
Form: Version 1.0  
Age: 52.0  
Sex: Male  
Location: Florida  
Vaccinated:2003-02-08
Onset:2003-01-25
Submitted: 2004-12-04
   Days after onset:679
Entered: 2004-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV080 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 765424 / 6 LA / IM
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH 4020071 / 1 LA / -
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR U1073 / 5 RA / IM

Administered by: Military       Purchased by: Military
Symptoms: Amnesia, Arthralgia, Blood pressure increased, Condition aggravated, Hypoaesthesia, Insomnia, Irritability, Joint stiffness, Joint swelling, Myalgia, Night sweats, Thinking abnormal, Tinnitus
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Eosinophilic pneumonia (broad), Hearing impairment (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Sexual dysfunction (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? No
Previous Vaccinations:
Other Medications: Klonopin - 0.5MIL - Sleep Issues Accuprell - Blood Pressure
Current Illness: None - Excellent Health - Just had physcial
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Doctor consulted and prescribed medications
CDC Split Type:

Write-up: MUSCLE AND JOINTS SWELLING, STIFFNESS AND ACHING, ELEVATED BLOOD PRESSURE, SLEEP DEPREVATION, IRRITABILITY, ARTHRITIC TYPE JOINT PAINS TO SPINAL REGION-SHOULDER-KNEES AND ANKLES, NUMBNESS TO RIGHT FRONTAL FOOT AND GREAT TOE, ATTENTION DEFICIT DISORDER, LOSS OF MEMORY, AND NIGHT SWEATS, STRESS ISSUES, INCREASE IN HIGH PITCHED TINNITUS.


VAERS ID: 231360 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2004-10-25
Onset:2004-10-25
   Days after vaccination:0
Submitted: 2004-11-08
   Days after onset:14
Entered: 2004-12-21
   Days after submission:43
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. - / UNK NS / IN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chills, Headache, Pyrexia, Rhinitis, Rhinorrhoea, Viral infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Minocycline for acne
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Received FluMist 10/27/2004. Developed fever 103F for two days and missed two days of school. No other signs or symptoms of respiratory infection. Medical Records received on 1/3/2005 states pt experienced headache, rhinitis, and viral syndrome. Headache, runny nose, chills. Dr states not disabled. Treated symptomaticly for viral illness.


VAERS ID: 231403 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Female  
Location: Unknown  
Vaccinated:1999-12-05
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2004-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anxiety, Back pain, Contusion, Cough, Demyelination, Depression, Dyspnoea, Guillain-Barre syndrome, Hypoaesthesia, Injury, Laryngitis, Muscle twitching, Nervous system disorder, Pain, Paralysis, Peroneal nerve palsy, Sensation of heaviness, Tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dyskinesia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (narrow), Hypoglycaemia (broad), Dehydration (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant drugs not reported.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: T4 3.9; TSH 0
CDC Split Type: CVOX200400320

Write-up: A report was received from a 53 year old female consumer in the US on 5/10/04. No details were provided regarding the vaccinees medical history or concomitant medications. On 12/5/99, the vaccinee received an influenza vaccine IM. Three weeks after vaccination, the vaccinee developed neurological problems. She was eventually diagnosed as having GBS. She received treatment with IV immune Globulins, which was some benefit but she still experiences pain and disability to this day. The vaccinee describes herself as being 100% disabled as a result of developing GBS. Further information will be sought. Follow up received from the vaccinee on 11/1/04. On 12/5/99, the vaccinee received an influenza vaccine and a pneumonia vaccine. A few days later, the vaccinee developed laryngitis, which progressed into her chest and left her breathless. The vaccinee attended an emergency room and was treated with IV antibiotics for the breathlessness and coughing before being sent home with inhalers and antibiotics. The vaccinee then fell at home, hurt her knees and her fingers were purple from the fall. For two days the vaccinate experienced severe pain and sensations in her legs and the next day she began to drag her right leg and experienced numbness in her left leg. The vaccinee attended an emergency room where she underwent a brain scan which was normal. A diagnosis of foot drop was made and the vaccinee was fitted with braces up to her knees and prescribed physical therapy. The vaccinee attended her primary physician, who referred her to a neurologist and a diagnosis of Guillain Barre Syndrome was made. The vaccinee underwent 5 sessions of IV immunoglobulin therapy, which allowed her to raise her toes and feet, use her legs and lessened the heaviness in her arms. The vaccinee was also being treated at this time for depression and anxiety. The vaccinee then experienced muscle twitches, which caused her to sit-up in bed involuntarily. MRI scan, X-rays and CAT scan revealed that the pain in her back and legs was due to missing sheaths on the nerves in her back. The vaccinee has been treated with 5 epidurals, physical therapy and 36mg daily of Neurontin. The vaccinee is still experiencing pain in her legs, anxiety and depression and as a result is unable to work. Further information and medical validation will be sought. Follow up received from healthcare professional on 12/13/04. The vaccinees medical notes were provided by her primary physician. Administration of pneumococcal vaccine is not documented in notes. The vaccinee attended an emergency room on 12/23/99 with shortness of breath and coughing. COPD or Chronic bronchitis was suspected. The vaccinee was also noted to be tachycardic (in the region of 140 - 160). The vaccinee sustained a fall and hurt her right leg (date not specified). On 12/31/99 the vaccinee attended an emergency room, was diagnosed with right peroneal nerve palsy and referred for physical therapy. The vaccinee began to experience anxiety and depression on 4/7/00. CT scan of head and lungs (dates performed not provided) were negative. However EMA for right and left leg (date not provided) showed bilateral peroneal nerve palsy and the vaccinee was fitted with leg braces. Review of the vaccinees condition on 1/29/02 indicated that the vaccinee was feeling much better and her anxiety had improved. She was tolerating her medications well and was wearing braces on both legs. Her hypertension had also improved with the treatment for anxiety. The vaccinee was referred to a neurologist for treatment of her bilateral leg weakness, which is likely to be GBS. Laboratory tests on 10/16/02 showed that the vaccinees TSH and T4 levels were low. A copy of the neurologist''s report will be requested.


VAERS ID: 231534 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:2003-10-03
Onset:2003-10-04
   Days after vaccination:1
Submitted: 2003-10-20
   Days after onset:16
Entered: 2004-12-28
   Days after submission:435
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1260AA / UNK - / IM

Administered by: Other       Purchased by: Private
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: None stated.
Current Illness: None stated.
Preexisting Conditions: None stated.
Allergies:
Diagnostic Lab Data:
CDC Split Type: 200302253

Write-up: From initial information received on 10/06/03 from a health care professional regarding an adverse event occurring in the U.S.A, it was reported that a female patient (age and birth date not reported) received Fluzone SV ''2003-''2004 USP, lot number U1260AA, administered intra-muscularly (site of administration not reported) on 10/03/03. The following day, the patient developed pain, edema, redness, and itching at the injection site, as well as pain and swelling in her joints. The patient''s recovery status was not reported. The reporter of this case is the same reporter of cases 200302255, 200302256, and 200302258.


VAERS ID: 232428 (history)  
Form: Version 1.0  
Age: 65.0  
Sex: Male  
Location: Georgia  
Vaccinated:2004-10-14
Onset:2004-10-14
   Days after vaccination:0
Submitted: 2005-01-18
   Days after onset:96
Entered: 2005-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1440AA / 7+ LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Joint range of motion decreased, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (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: None
Current Illness: None
Preexisting Conditions: None Informationfrom medical records states sarcodosis, glaucoma as conditions. msv
Allergies:
Diagnostic Lab Data: X-rays of left deltoid, shoulder
CDC Split Type:

Write-up: Patient experienced severe and recurring pain in the left deltoid muscle for 3 months after vaccine was administered. Patient was referred to orthopedist after 2 months, treated with methylprednisolone, treatment ongoing. Information from medical records states pain, reduced range of motion. msv


VAERS ID: 232509 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Minnesota  
Vaccinated:2003-12-10
Onset:2003-12-17
   Days after vaccination:7
Submitted: 2005-01-04
   Days after onset:384
Entered: 2005-01-19
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 622B2 / 3 LL / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1128AA / 1 RL / -

Administered by: Public       Purchased by: Private
Symptoms: Blindness, Convulsion, Delirium, Developmental delay, Gene mutation identification test positive, Growth retardation, Hypokinesia, Hypotonia, Irritability, Neutropenia, Oral intake reduced, Pyrexia
SMQs:, Agranulocytosis (broad), Haematopoietic leukopenia (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hostility/aggression (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2005-10-12
   Days after onset: 664
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 40 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Cefzil for possible left ear infection.
Current Illness: Left ear slightly pink, possible ear infection Information from medical records state otitis media.
Preexisting Conditions: NONE PMH: leukodystrophy, seizures, leukoencephalopathy, neutropenia.
Allergies:
Diagnostic Lab Data: She has had genetic testing for all known Leukodystrophies multiple times - results negative. Has been tested for any/all diseases and disorders that can cause damage to white matter of the brain - all negative. Information from medical records state neutropeni. 2/5/07 Received labs from ME office which reveal: 8/15/04 unremarkable RBCs; vacuolated monocytes; unremarkable plts. 3/23/05 absolute neutropenia, marked; absolute monocytosis, mild; & apparently normal RBC & plts.
CDC Split Type:

Write-up: Low grade fever and very cranky immediately after vaccination that lasted 7 days. 7 days after vaccination, she started having seizures and was hospitalized. 14 days after vaccination, MRI of head showed diffuse white matter abnormalities. Since then, she has lost all physical abilities. She can not hold her head up, does not eat by mouth (has G-tube), does not smile, lost her sight and has hypotonia. She has been tested for numerous diseases but all test results are negative thus far. White matter of brain is continually decreasing. Information from medical records state developmental delay. Per follow up report-Patient passed away 10-12-05. Gene mutations were found that caused the disease vanishing white matter disease. This disease was triggered by the onset of Influenza within a few days after getting the Influenza vaccine. Although patient would have presented with the symptoms of this disease eventually it is believed that getting the flu vaccine is what triggered the symptoms earlier. 8/10/07 Received Death Certificate which reveals COD as Vanishing White Matter Disease.


VAERS ID: 233047 (history)  
Form: Version 1.0  
Age: 85.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2004-10-20
Onset:2004-10-22
   Days after vaccination:2
Submitted: 2005-01-28
   Days after onset:98
Entered: 2005-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1446AA / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Coma, Convulsion, Dementia, Encephalitis, Hyperlipidaemia, Hypokinesia, Memory impairment, Nausea, Pneumonia, Pyrexia, Renal failure
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Acute pancreatitis (broad), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (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), Dementia (narrow), Convulsions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Lipodystrophy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Immune-mediated/autoimmune disorders (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? Yes
Previous Vaccinations:
Other Medications:
Current Illness: FEVER OF 100.3. Medical Records received on 2/9/2005 states fell, hit head laceration.
Preexisting Conditions: HEART BYPASSES, PACEMAKER, DIABETES(NON-INSULIN DEPENDENT), NO KNOWN ALLERGIES. Medical Records received on 2/9/2005 states knee replacement, CAD, hearing decreased and vision decreased.
Allergies:
Diagnostic Lab Data: Medical Records received on 2/9/2005 states hyperlipidemia.
CDC Split Type:

Write-up: 0/20/04-PATIENT DROVE TO DRS OFFICE FOR CHECKUP. WAS FINE EXCEPT FOR A 100.3 FEVER...PATIENT VERY HASTILY GIVEN FLU SHOT OVER MY PROTESTATIONS...(DR ACTUALLY CLAIMED THAT THE SHOT WAS AMONG THOSE HE HAD ''SAVED'' FROM MARCH OF 2004 AND MY DAD WAS ''LUCKY'' TO BE GETTING A SHOT AT ALL, SINCE WE WERE ABOUT TO RUN OUT(!)....NAUSEA DEVELOPED LATE ON OCT 22, FOLLOWED BY GENERAL WEAKNESS, INCREASED FEVER AND SUDDEN DEMENTIA BY MORNING OF 0.25.2004...RUSHED TO EMERGENCY ROOM AT THAT POINT...FEVER SPIKES TO 104, SEIZURES BEGIN AND THE PATIENT IS ''COMPLETELY UNRESPONSIVE'' IN ICU FOR 19 DAYS..INFECTIOUS DISEASE TEAM BEGINS TESTS AND PATIENT IS DIAGNOSED WITH ENCEPHALITIS....FEVER RETURNS TO NORMAL, PATIENT TAKEN OUT OF ICU, BUT WITHOUT ANY MOTOR SKILLS, OR MEMORY OF ANYTHING..INCLUDING SELF, HIS WIFE OF 60 YEARS OR ME...PATIENT PLACED IN HOSPITAL ROOM ON FEEDING TUBE AND THEN TRANSFERRED TO CONVALESCENT HOME MID NOVEMBER...PATIENT OFF FEEDING TUBE BUT NOT AMBULATORY AND WITH TOTAL MEMORY LOSS AS OF TODAY (1/28/05). Follow up: Non responsiveness, fever, kidney failure, pneumonia, seizure (many) pt was placed on "do not resusitate" list Apr 10, 2005. From Discharge summary, nausea, weadness, dementia. msv


VAERS ID: 233078 (history)  
Form: Version 1.0  
Age: 67.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2004-12-01
Onset:2004-12-01
   Days after vaccination:0
Submitted: 2004-12-29
   Days after onset:28
Entered: 2005-01-31
   Days after submission:33
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1579AA / UNK LA / -

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Hearing impaired, Injection site pain, Laboratory test abnormal, Labyrinthitis, Tinnitus, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Vestibular 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:
Preexisting Conditions: High blood pressure-mitral valve prolapse Information received from medical records states torticullis, hypercholesteremia.
Allergies:
Diagnostic Lab Data: Had MRI/MRA/CT Scan of brain. Had 2 hearing tests. Follow up 03/07/05 CT Head and Labs Normal. Summary sttes lab test abnormal. msv
CDC Split Type:

Write-up: Took the flu vaccine on 12/1/04 at 10:00 AM; went back to work. Had a slight soreness in the left arm where vaccine was given. Same day at 3:00 PM, had a static noise in right ear. Lost hearing in this ear. Later had vomiting and dizziness. Follow up 03/07/05: Patient was seen in the emergency room on 12/04/04. Chief complaint was vertigo and hearing loss. Patient reported felt a little dizzy and heard staticky sound in right ear. By next am pt had severe vertigo with nausea, requiring compazine and Bonine, and noted severe hearing loss in right ear. Over the next 48 hours vertigo is lessening but hearing loss has not improved in right ear. No further tinnitus reported. Patient denies aural fullness. Patient received flu shot this week, just prior to onset of symptoms. Upon ears were found to be clear with normal appearing tympanic membrane. Eyes: no nystagmus vertical or horizontal gaze. CT of head showed not Focal Lesions and Labs normal. Impression: Acute right Labyrinthitis, prob viral, affecting both cochlear and vestibular nerves. ER summary states labyrinthitis. msv


VAERS ID: 233264 (history)  
Form: Version 1.0  
Age: 58.0  
Sex: Female  
Location: Florida  
Vaccinated:2003-10-18
Onset:2004-04-20
   Days after vaccination:185
Submitted: 2005-02-01
   Days after onset:287
Entered: 2005-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1287AA / 2 - / -

Administered by: Other       Purchased by: Private
Symptoms: Abasia, Agitation, Asthenia, Chest pain, Confusional state, Constipation, Coordination abnormal, Fall, Guillain-Barre syndrome, Hypotension, Laboratory test abnormal, Myopathy, Pain, Pain in extremity, Paraesthesia, Red blood cell sedimentation rate increased, Tachycardia, Tremor, Walking aid user, Wheelchair user
SMQs:, Rhabdomyolysis/myopathy (narrow), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Cardiomyopathy (broad), Demyelination (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (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, ? days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Lotesin; Dyazide; Neurontin; Premarin; Synthyroid; Allegra
Current Illness: Idiopathic Neuropathy
Preexisting Conditions: Augmentin; Sulfa drugs; Bioxin; Renal cell carcinoma; Nephrectomy 1994 From discharge summary, Hyperthyroid, peripheral neuropathy, depression, renal disease, cervical spinal stenosis, degenerative joint disease; from medical records, obese. msv
Allergies:
Diagnostic Lab Data: Spinal tap; Blood work Information from discharge summary states abnormal lab tests, from medical records, elevated sed rate.
CDC Split Type:

Write-up: Developed GBS. All of a sudden fell in April 2004 and could not walk. Hospitalized untill 11/28/04. Had spinal tap to confirm GBS. Had plasmaphoresis to clear blood - 18 treatments. Currently in therapy; wearing braces on legs. Per follow up report received on 06/23/2005: Patient''s reflexes remain absent, numbness in both feet, irregular areas on both lower legs. Right foot/ankle still unable to flex joint at all. Needs walker and wheelchair for ambulatory efforts. Balance remains affected, not stable when standing up - fingers are numb. Motor skills not possible to do. Information received from Discharge summary sttes numbness, weakness, clumsy, constipation, confusion nd elevated hemi-diaphram as symptoms; from medical records, hypotension, pin, agitation, chest pain, tachycardia. msv Per follow up report-Right ankle still paralyzed. APO brace required to walk. Use cane so well for short simulations. Uses wheelchair to enable independent daily living tasks in house. Still have short tremors in hands and feet associated with pain. Extremities still painful to coldness, i.e. cold weather=increased pain often disrupting sleep. Is there monetary compensation from manufacturer? Patient can not work as a result of this adverse reaction.


VAERS ID: 233486 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Male  
Location: California  
Vaccinated:2004-11-18
Onset:2004-11-27
   Days after vaccination:9
Submitted: 2005-02-07
   Days after onset:72
Entered: 2005-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1410BA / 1 LA / IM
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Tic
SMQs:, Dyskinesia (broad), Dystonia (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: neurological problems~Hep B (no brand name)~2~0.20~In Sibling|Neurological problems~Hep B (no brand name)~2~0.20~In Sibling
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergies to penicillin. Information from medical records states attention deficit doisprder, aspergers syndrome. msv
Allergies:
Diagnostic Lab Data: He is scheduled for MRI/cat scan with pediatric neurologist 2/18/05.
CDC Split Type:

Write-up: Developed severe tics 9 days after administration of the vaccine. given Inderol, 10mg. to try to decrease the frequency. Were occurring at rate initially of up to 20 per minute. 4 months later, occurring 1 every 4 minutes or so, more under stress. Was enrolling in High school of the arts for music and is now unable to attend. 60 Day Follow Up: Is still having severe tics, now being treated by Halodol. Per follow up report-Continues to have tics, usually at the rate of 1 or 2 per minute instead of many per minute. Under stress they continue at the rate of as many as 15 per minute.


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