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This is VAERS ID 186189

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 186189
VAERS Form:
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED, PED. (NO BRAND NAME) / LEDERLE LABORATO 466025 / - - / RA
FLU: INFLUENZA (FLUSHIELD) / WYETH LABORATORI V0488AA / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: APNEA, INSOMNIA, MYASTHENIA, DYSPHAGIA, PAIN NECK

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating (""beyond description"") pain, severe bur"ning and a throbbing/pulsating sensation, that was so ""bad"", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that ""it"" was normal and would subside. The patien


Changed on 12/8/2009

VAERS ID: 186189 Before After
VAERS Form:
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED, PED. (NO BRAND NAME) DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATO LEDERLE LABORATORIES 466025 / - - RA / RA -
FLU: INFLUENZA (FLUSHIELD) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH LABORATORI WYETH PHARMACEUTICALS, INC V0488AA / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure, APNEA, INSOMNIA, MYASTHENIA, DYSPHAGIA, PAIN NECK

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating (""beyond description"") ("beyond description") pain, severe bur"ning burning and a throbbing/pulsating sensation, that was so ""bad"", "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that ""it"" "it" was normal and would subside. The patien patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


Changed on 8/31/2010

VAERS ID: 186189 Before After
VAERS Form:
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / - RA / -
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH V0488AA / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


Changed on 7/7/2013

VAERS ID: 186189 Before After
VAERS Form:
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / - RA / -
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


Changed on 9/14/2017

VAERS ID: 186189 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / - UNK RA / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


Changed on 2/14/2018

VAERS ID: 186189 Before After
VAERS Form:1
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / UNK RA / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


Changed on 6/14/2018

VAERS ID: 186189 Before After
VAERS Form:1
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / UNK RA / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


Changed on 8/14/2018

VAERS ID: 186189 Before After
VAERS Form:1
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / UNK RA / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


Changed on 9/14/2018

VAERS ID: 186189 Before After
VAERS Form:1
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / UNK RA / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


Changed on 10/14/2018

VAERS ID: 186189 Before After
VAERS Form:1
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / UNK RA / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


Changed on 12/24/2020

VAERS ID: 186189 Before After
VAERS Form:1
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / UNK RA / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


Changed on 12/30/2020

VAERS ID: 186189 Before After
VAERS Form:1
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / UNK RA / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


Changed on 5/7/2021

VAERS ID: 186189 Before After
VAERS Form:1
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / UNK RA / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.


Changed on 5/21/2021

VAERS ID: 186189 Before After
VAERS Form:1
Age:
Sex:Female
Location:Kentucky
Vaccinated:2000-12-13
Onset:0000-00-00
Submitted:2002-06-06
Entered:2002-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 466025 / UNK RA / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH V0488AA / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Insomnia, Muscle twitching, Muscular weakness, Neck pain, Paralysis, Respiratory failure

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ2610505JUN2002

Write-up: An attorney alleges that a female received Tetanus and Diphtheria Toxoids Absorbed, Purogenated and influenza virus vaccines on 13 DEC 2000. Immediately following immunization, the patient experienced excruciating ("beyond description") pain, severe burning and a throbbing/pulsating sensation, that was so "bad", she was unable to sleep the entire night. The pain in her arm radiated into her neck and shoulder. She notified her physician who indicated that "it" was normal and would subside. The patient continued experiencing right arm and hand pain with 2 fingers on her right hand "drawing". As time moved forward, she experienced weakness and twitching in both her arms. Between May and June 2002, the patient''s condition began to deteriorate; she was unable to use either arm for anything. She also experienced difficulty breathing. In August 2001, she was hospitalized for respiratory failure and placed into intensive care unit. She was released in September 2001 and had lost the use of both her arms. Her neck muscles had deteriorated to the point that she need assistance to maintain head elevation. Her weakness and deterioration affected her lungs and throat. The patient could barely breathe and had difficulty swallowing. According to the attorney, her problems were so severe, she was intubated and a feeding tube was inserted. As of the date of this report, the patient required 24 hour care due to her "injuries". As of the date of this report, no further information was available.

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