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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: 246937 (history)  
Form: Version 1.0  
Age: 78.0  
Sex: Female  
Location: Texas  
Vaccinated:2005-10-24
Onset:2005-10-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2005-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U1817AA / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Neuropathy, Neuropathy peripheral, Pain, Paraesthesia, Vaccine positive rechallenge
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (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: Neuropathy~Influenza (Seasonal) (no brand name)~~69.00~Patient
Other Medications: Thyroid
Current Illness:
Preexisting Conditions: Arthritis, Osteoporosis Information from Medical records states goiter, anxiety. msv
Allergies:
Diagnostic Lab Data: Peripheral neuropathy feet and legs started 1992 lasted 6-8 years.
CDC Split Type:

Write-up: Neuropathy in feet and legs immediately after vaccination administered. Same thing happened 8-10 years ago, Neuropathy lasted 6 yrs. Before letting up. Had the flu last 2 yrs and was bullied into getting this shot bad mistake, I''m 78 years old. Information from medical records includes paresthia and pain. msv


VAERS ID: 247377 (history)  
Form: Version 1.0  
Age: 5.0  
Sex: Female  
Location: New York  
Vaccinated:2004-10-08
Onset:2004-11-04
   Days after vaccination:27
Submitted: 2005-11-14
   Days after onset:375
Entered: 2005-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / 1 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Convulsion, Electroencephalogram abnormal
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 2/1/06 - Per review of ER record, child was taking Ceftin.
Current Illness: 2/1/06 - Per review of ER record child was recovering from sinusitis.
Preexisting Conditions: Hemiparesis 2/1/06-Per review of ER record, PMH states mild cerebral palsy.
Allergies:
Diagnostic Lab Data: 2/1/06 - Review of medical records indicates EEG date was 11/19/04. Results were stated as ''markedly abnormal EEG. Repetitive sharp waves and spikes are noted primarily in the left central, parietal, and, to a lesser extent, the temporal regions. These have a high propensity for being epileptogenic''.
CDC Split Type:

Write-up: My daughter experienced a tonic-clonic seizure 10 days after her second dose of flu vaccine. Then another seizure 1 month later. 2/2/06 Reviewed medical records and confirmed diagnosis of new-onset seizure. The date of ER visit was 11/04/04. Child was finishing up Ceftin for sinusitis. PMH states child has ''mild cerebral palsy''. 2/2/06 Per telephone f/u the provider indicated that the dates for the two 2004 Fluzone vaccines were 10/8/04 and 11/12/2004. 1/1/10 - follow up - no seizures for 2 yr (since 1 mo. after vaccine)


VAERS ID: 247945 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Male  
Location: Maryland  
Vaccinated:2005-10-15
Onset:2005-10-17
   Days after vaccination:2
Submitted: 2005-11-21
   Days after onset:35
Entered: 2005-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. TBD / 1 NS / IN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Deafness, Ear discomfort, Ear pain, Hypoacusis, Inflammation, Laboratory test abnormal, Nasal congestion, Tinnitus
SMQs:, Hearing impairment (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:
Current Illness: None
Preexisting Conditions: Medical records state allergy. msv
Allergies:
Diagnostic Lab Data: Pending...only hearing tests so far. Medical records state lab test abnormal. msv
CDC Split Type:

Write-up: Hearing loss, severe tinnitus, pain, discomfort, fullness/pressure in both ears, fluid buildup(?). After additional time, contacted primary physician, assuming some type of ear infection, treated with Avelox antibiotic starting approx. 10/26/2005 for approx 7 days. Little relief. Then went to ear specialist, who put me on 9 day course of Prednisone started approx 11/11/2005. DID get some relief during treatment, but symptoms returned after finishing the Prednisone. Per follow up 2/28/2006: After approximately 9-10 weeks the seevere inflammation/congestion, especially in left ear DID subside somewhat. Maybe as a result of the 3 courses of rednisone and decongestions. Hearing test showe additional permanent hearing loss. Not sure what to do next. Also tinnitus is much worse 24x7. I saw in the news that Manufacturer was trying to get Flumist approved for children under 5 years old. I think this is a very bad idea. And flumist should not be administered to anyone with any history of ear problems, no matter how mild. Also don''t forget that young children probably cannot describe post vaccine ear problems easily. You could only determine that from pre and post vaccine administration ear/hearing tests. That is not likely even to occur, except by chance. Don''t approve for young children.


VAERS ID: 247946 (history)  
Form: Version 1.0  
Age: 70.0  
Sex: Female  
Location: Michigan  
Vaccinated:2004-11-09
Onset:2004-11-14
   Days after vaccination:5
Submitted: 2005-11-21
   Days after onset:372
Entered: 2005-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNK / UNK UN / -

Administered by: Private       Purchased by: Other
Symptoms: Asthenia, Demyelination, Neuropathy, Serum sickness
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Demyelination (narrow), Hypersensitivity (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2005-11-20
   Days after onset: 371
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: N V D~Influenza (Seasonal) (no brand name)~~65.00~In Sibling|~Influenza (Seasonal) (no brand name)~~0.00~In Sibling
Other Medications: Synthroid, Lipitor, Iressa
Current Illness: Lung and stomach cancer
Preexisting Conditions: Allergic to PCN
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt and spouse state she had been recovering well after Cancer of lung and stomach and returned to work. 4-5 days after getting Flu shot 11/09/2004 she developed progressive weakness which was later DX as ALS. Death from ALS 11/05. No additional terms added from Discharge Summary rec''d 11/28/2005/sr Serum Sickness added from Med. Record rec''d 12/07/2005


VAERS ID: 248020 (history)  
Form: Version 1.0  
Age: 72.0  
Sex: Male  
Location: Florida  
Vaccinated:2005-11-07
Onset:2005-11-07
   Days after vaccination:0
Submitted: 2005-11-14
   Days after onset:7
Entered: 2005-11-22
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1912AA / UNK LA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Fatigue, Grip strength decreased, Hypokinesia, Injected limb mobility decreased, Injection site mass, Injection site pain, Monoplegia, Oedema, Pain in extremity, Paralysis, X-ray normal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (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: Glyburide, Fosinopril, Aspirin, Vitamins, Protonix, Metformin
Current Illness: Have 3 spinal injuries for several years, Diabetes type 2 for 4 years.
Preexisting Conditions: Have 3 spinal injuries for several years, Diabetes type 2 for 4 years.
Allergies:
Diagnostic Lab Data: 12/15/05 Per review of medical records an x-ray of the shoulder was normal.
CDC Split Type:

Write-up: Given vaccine on 11/07/2005 at 2:00pm, into left shoulder area by nurse, pain in arm started a about 4:30 - 5:00pm, same day with fatigue. By 10 pm same day I could not use my left arm, could not lift, push, pull with it, as if paralyzed. Hand left could not grip or hold. Pain severe 10 on scale of 0 to 10. Had to have assistance to get up out of Bed, Chairs. Could not stand and use a walker, venor propel wheelchair. I am still unable to use my left arm, though pain is now 5, swelling still to some degree. - 12/15/05 Review of medical record reveals no definitive diagnosis, no mention of paralysis, and no additional symptoms. 1/1/10 - follow up- still have limited use of left arm; still limited strength in grip of left hand;still lingering pain in left shoulder and were flu injection was given;still can feel a "ball" in left arm where injected as if it formed a "lump" of fluid. ive heard people, many of them, have died from that shot. you ought to be more vigilant before administering that "poison" ! Cannot use vaccinated arm much as it is in constant pain ("5" on a scale of 0-10) with pain up to "10" when I do certain things - which I most put up with to get up from chair, bed, couch, wheelchair (cannot use to move forward, but pain is less backing it up pushing on wheels in reverse. My doctor of health care plan says the injection may have gone into a nerve, of which he says nothing can be done. I''m not getting any better, but getting worse. I have been advised to contact a lawyer, which I am tempted to do -as this is ruining my life by "taking away one of my arms"!


VAERS ID: 248520 (history)  
Form: Version 1.0  
Age: 63.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2005-10-06
Onset:2005-10-17
   Days after vaccination:11
Submitted: 2005-12-01
   Days after onset:45
Entered: 2005-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Acute disseminated encephalomyelitis, Balance disorder, Cerebrovascular accident, Confusional state, Coordination abnormal, Delirium, Encephalitis, Fall, Gait disturbance, Hemiparesis, Memory impairment, Metamorphopsia, Muscular weakness, Parosmia, Pollakiuria, Skin ulcer, Tinnitus
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (narrow), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Accidents and injuries (narrow), Demyelination (narrow), Retinal disorders (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), 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, 12 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: ZOCOR; ZIAC - S
Current Illness:
Preexisting Conditions: syncope hypertension hyperlipidemia dizziness 12/2/05 - Reviewed medical records. Add mild occipital HA "for many months" and severe oral ulcers. 12/22/05 Per review of medical record add allergy to PCN and morbid obesity.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: encephalitis/short term memory difficulty multiple lesions on mri treated with iv steroids 12/2/05 Per review of medical records the following additional symptoms were noted: distorted vision, confusion, loss of balance, falls, unusual smells, "roaring" in ears, increased urinary frequency, and weakness L leg. 12/22/05 Review of medical record indicates stroke in occipital lobe and ataxia. Follow-up: 12/02/2005 - VERBAL REPORT FROM REPORTER: Date of admission was 11/22/05. Pt. likely to be discharged today or tomorrow. Final diagnosis is ADEM s/p influenza vaccine. Additional symptoms not mentioned on original VAERS report include left-sided weakness, gait disturbance. While in hospital the patient has exhibited intermittent sundowning. 12-2-05 Verbal report from vaccine provider: Lot # not recorded. Syncope and dizziness do not appear to be pre-existing to receipt of flu vaccine. Apparently patient had not had any previous flu vaccines.


VAERS ID: 248674 (history)  
Form: Version 1.0  
Age: 72.0  
Sex: Male  
Location: New York  
Vaccinated:2005-11-16
Onset:2005-11-16
   Days after vaccination:0
Submitted: 2005-11-28
   Days after onset:12
Entered: 2005-12-05
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0691P / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flovent; Flonase; Spiriva; Ambien
Current Illness:
Preexisting Conditions: Pneumonia; Hospitalization
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0511USA03303

Write-up: Information has been received from a physician concerning a 72 year old male with chronic obstructive pulmonary disease (COPD), a history of pneumonia (patient was hospitalized two weeks prior due to pneumonia) and no allergies who on 11/16/05 was vaccinated IM in the right arm with a 0.5ml dose of pneumococcal 23v polysaccharide vaccine (lot # 650082/0691P). Concomitant vaccination given on that same day included a dose of influenza virus vaccine. Concomitant therapy included fluticasone propionate, tiotropium bromide, zolpidem tartrate and fluticasone propionate, PRN. Within 24 hours of vaccination, on 11/17/05, the physician reported that the swelling was growing. Treatment with amoxicillin (+) clavulanate potassium and cold compresses was provided. The reporting physician stated that the patient may need to be hospitalized if the swelling did not improve. It was noted that prior to the vaccinations, the patient told the physician that he had not received the pneumococcal 23v polysaccharide vaccine, but post vaccination the patient stated that he may have been vaccinated with pneumococcal 23v polysaccharide vaccine recently. The reporting physician considered the adverse experience to be disabling and also considered it to be an other important medical event (OMIC). Additional information has been requested.


VAERS ID: 249080 (history)  
Form: Version 1.0  
Age: 0.55  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2004-11-30
Onset:2004-12-25
   Days after vaccination:25
Submitted: 2005-12-12
   Days after onset:352
Entered: 2005-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR C2103AA / 3 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1442AA / 1 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE396AA / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A57861F / 3 RL / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER X1240 / 3 LL / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abnormal behaviour, Autism, Cognitive disorder, Developmental delay, Irritability, Oral intake reduced, Regressive behaviour
SMQs:, Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), 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? No
Previous Vaccinations: later dx of autism~Influenza (Seasonal) (Fluzone)~1~0.60~Patient|~Influenza (Seasonal) (Fluzone)~~0.00~Sibling|later dx of autis
Other Medications: Zithromax
Current Illness: double ear infections and upper respiratory infection.
Preexisting Conditions: ezcema, soy intolerance, developmental delay
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Infant began flailing/self-stimming on 12-25-04. Infant stopped babbling, eating, was irritable, not cuddly, had disturbed sleep problems, and was diagnosed with autism spectrum on 8-10-05. Medical record states congenital muscle anomally. msv Per annual follow-up: Encepholathy, speech and language regression, cognitive impairment, autism, global developmental delay, severe egg and peanut allergy, severe gastric intestinal issues. Additional comments: Children should not be made to receive these shots. Parents should have informed consent . Our twins received this vaccine at 6 months and just shy of 7 months. Follow-up: Patient still has dx of regressive encephalopathy w/ features of autism.


VAERS ID: 249081 (history)  
Form: Version 1.0  
Age: 0.55  
Sex: Male  
Location: Maryland  
Vaccinated:2004-11-30
Onset:2004-12-30
   Days after vaccination:30
Submitted: 2005-12-12
   Days after onset:347
Entered: 2005-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR C2103AA / 3 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1442AA / 1 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE396AA / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A57861F / 3 RL / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER X1240 / 3 LL / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abnormal behaviour, Autism, Cognitive disorder, Congenital anomaly, Encephalopathy, Food allergy, Irritability, Oral intake reduced, Sleep disorder, Staring, Strabismus
SMQs:, Dementia (broad), Congenital, familial and genetic disorders (narrow), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hostility/aggression (broad), Ocular motility disorders (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: later dx of autism~Influenza (Seasonal) (Fluzone)~1~0.60~Patient|later dx of autism~Influenza (Seasonal) (Fluzone)~1~0.60~Siblin
Other Medications: albuterol, amoxicillan
Current Illness: breathing difficulty
Preexisting Conditions: eczema, milk and soy intolerance, developmental delay, Medical record states asthma . msv
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Infant stopped babbling, looked at us as though he did not know who we were, began gazing, stopped eating, was irritable, not cuddly, had disturbed sleep problems, began surface scanning objects, crossing eyes, and was diagnosed with autism spectrum on 8-10-05. Medical record states congenital abnormality. msv Encephalopathy, speech and language regression, cognitive impairment, autism, gilobal dev. delay severe egg & peanut allergy, severe GI issues. This should not be a mandated vaccine. Our twins received this vaccine at 6 months and just shy of 7 months. Parents should be informed. Follow-up: Patient still has a dx of regressive encephalopathy w/ features of autism.


VAERS ID: 249318 (history)  
Form: Version 1.0  
Age: 67.0  
Sex: Female  
Location: Unknown  
Vaccinated:2005-11-21
Onset:2005-11-21
   Days after vaccination:0
Submitted: 2005-12-13
   Days after onset:22
Entered: 2005-12-15
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UNK / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 1048P / UNK RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Cellulitis, Diarrhoea, Dry skin, Dyspnoea, Fatigue, Flushing, Mucous membrane disorder, Nausea, Oedema, Pain, Tenderness, Tremor
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Diovan HCT, Zoloft, Veralan
Current Illness:
Preexisting Conditions: Blood pressure high
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0512USA00738

Write-up: Information has been received from a registered nurse concerning a 67 year old female with high blood pressure who on Nov 21 2005 was vaccinated IM into the right arm with a dose of pneumococcal 23v polysaccharide vaccine (lot 651330/1048P). On Nov 21 2005, the patient was also vaccinated in the left arm with a dose of influenza virus vaccine (unspecified). Concomitant therapy included sertraline HCL (Zoloft), hydrochlorothiazide (+) valsartan (Diovan HCT) and verapamil HCL (Veralan). On Nov 21 2005 the patient developed shortness of breath, shooting pain in her right arm, shaking of her head and body, dryness of mucus membranes, nausea, diarrhea, fatigue, cellulitis and she felt flushed. From her right deltoid to her elbow she developed cellulitis with swelling, tenderness and axillary pain. The patient was treated with cephalexin (Keflex) and acetaminophen (+) hydrocodone bitartrate (Vicodin). The patient was reported as recovered. Shortness of breath, shooting pain in her right arm, shaking of her head and body, feeling flushed, dryness of mucus membranes, nausea, diarrhea, fatigue and cellulitis were considered to be disabling and other important medical events by the reporting nurse (OMIC). There was no product quality complaint involved. Additional information has been requested.


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