National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 102181

Case Details

VAERS ID: 102181 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:1996-11-04
Onset:1996-11-05
   Days after vaccination:1
Submitted: 1997-05-16
   Days after onset:191
Entered: 1997-09-05
   Days after submission:112
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968201 / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Dysphagia, Eye disorder, Facial palsy, Lacrimal disorder
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (broad), Lacrimal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 897141003L

Write-up: 1 days p/vax pt devel Bell''s Palsy;As of 7MAY97 pt still exp facial paralysis, lt eye watered & would not close & had diff chewing & eating;no further info was available @ the date of this report;


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=102181


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166