National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/7/2022 release of VAERS data:

This is VAERS ID 194966

Government Disclaimer on use of this data



Case Details

VAERS ID: 194966 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: North Carolina  
Vaccinated:1998-11-12
Onset:0000-00-00
Submitted: 2002-12-12
Entered: 2002-12-16
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4988235 / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Drug toxicity, Mental retardation severity unspecified, Neurodevelopmental disorder
SMQs:, Anticholinergic syndrome (broad), Drug abuse and dependence (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:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: HQ5638006DEC2002

Write-up: A legal complaint was received on 12/03/02 from an attorney alleging that a child received series of Engerix B, Tripedia, Tetramune, Hib-Titer, Tri-Immunol and Flu Shield vaccines from 12/31/92 through 11/12/98 and subsequently experienced "toxic neurological effects of mercury poisoning." The legal complaint also stated that the pt experienced "mental and intellectual incapacity, developmental incapacity, learning disabilities, and affect disorders and impairments." The pt''s symptoms resulted in persistent or significant disability/incapacity. Vaccine info contained in the legal complaint indicated that the child received Engerix B, Tripedia, Tetramune, Hib-Titer, Tri-Immunol, and Flu shield vaccines during the first years of life.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=194966


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