National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 132943



Case Details

VAERS ID: 132943 (history)  
Form: Version 1.0  
Age: 74.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:1999-10-04
Onset:1999-10-05
   Days after vaccination:1
Submitted: 1999-12-15
   Days after onset:71
Entered: 1999-12-30
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKDALE PHARMACEUTICALS 02089P / 2 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Coordination abnormal, Dizziness, Nausea, Neuropathy
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Had similar symptoms last yr for two weeks following flu shot;date unk~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergy to PCN,sulfa,formalin,neosporin
Allergies:
Diagnostic Lab Data: 11/26/99:Audiometric test-right balance nerve damaged 30%
CDC Split Type:

Write-up: Had flu shot at 3p;woke up at 2a and was dizzy,nauseated,& lost her equalibrium.Tx w/ Meclazine.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=132943


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166