National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/14/2022 release of VAERS data:

This is VAERS ID 184648

Government Disclaimer on use of this data



Case Details

VAERS ID: 184648 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Male  
Location: Arizona  
Vaccinated:2001-12-01
Onset:2002-01-01
   Days after vaccination:31
Submitted: 2002-05-06
   Days after onset:124
Entered: 2002-05-16
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0601AA / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC Split Type:

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=184648


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166