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This is VAERS ID 166802

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 166802
VAERS Form:
Age:48.0
Sex:Female
Location:Massachusetts
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE 00-01) /   U0346AA / 6 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: DEAF, ASTHENIA, AMBLYOPIA, BONE DIS, ATAXIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veeri"ng off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bi


Changed on 12/8/2009

VAERS ID: 166802 Before After
VAERS Form:
Age:48.0
Sex:Female
Location:Massachusetts
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-12 2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE 00-01) INFLUENZA (SEASONAL) (FLUZONE 00-01) /   AVENTIS PASTEUR U0346AA / 6 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort, DEAF, ASTHENIA, AMBLYOPIA, BONE DIS, ATAXIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veeri"ng veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bi bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 8/31/2010

VAERS ID: 166802 Before After
VAERS Form:
Age:48.0
Sex:Female
Location:Massachusetts
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 00-01) INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 6 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 7/7/2013

VAERS ID: 166802 Before After
VAERS Form:
Age:48.0
Sex:Female
Location:Massachusetts
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 6 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 6 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 2/14/2017

VAERS ID: 166802 Before After
VAERS Form:
Age:48.0
Sex:Female
Location:Massachusetts
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 6 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 9/14/2017

VAERS ID: 166802 Before After
VAERS Form:(blank) 1
Age:48.0
Sex:Female
Location:Massachusetts
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 6 7+ LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 2/14/2018

VAERS ID: 166802 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Massachusetts
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 7+ LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 6/14/2018

VAERS ID: 166802 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Massachusetts
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 7+ LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 8/14/2018

VAERS ID: 166802 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Massachusetts
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 7+ LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 9/14/2018

VAERS ID: 166802 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Massachusetts
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 7+ LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 10/14/2018

VAERS ID: 166802 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Massachusetts
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 7+ LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 12/10/2020

VAERS ID: 166802 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Massachusetts New Hampshire
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 7+ LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 12/24/2020

VAERS ID: 166802 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:New Hampshire
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 7+ LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 12/30/2020

VAERS ID: 166802 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:New Hampshire
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 7+ LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 5/7/2021

VAERS ID: 166802 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:New Hampshire
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 7+ LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


Changed on 5/14/2021

VAERS ID: 166802 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:New Hampshire
Vaccinated:2000-10-16
Onset:2000-11-01
Submitted:2001-01-08
Entered:2001-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 7+ LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Back pain, Bone disorder, Demyelination, Dizziness, Hyperhidrosis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased, Hypoacusis, Balance disorder, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC 'Split Type':

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.

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