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This is VAERS ID 198477

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 198477
VAERS Form:
Age:49.0
Sex:Male
Location:Foreign
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0984AA / - - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 1/5/2010

VAERS ID: 198477 Before After
VAERS Form:
Age:49.0
Sex:Male
Location:Foreign
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR SANOFI PASTEUR U0984AA / - - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 10/11/2011

VAERS ID: 198477 Before After
VAERS Form:
Age:49.0
Sex:Male
Location:Foreign Unknown
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / - - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 7/7/2013

VAERS ID: 198477 Before After
VAERS Form:
Age:49.0
Sex:Male
Location:Unknown
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / - - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 9/14/2017

VAERS ID: 198477 Before After
VAERS Form:(blank) 1
Age:49.0
Sex:Male
Location:Unknown
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / - UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 2/14/2018

VAERS ID: 198477 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:Unknown
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 6/14/2018

VAERS ID: 198477 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:Unknown
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 8/14/2018

VAERS ID: 198477 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:Unknown
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 9/14/2018

VAERS ID: 198477 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:Unknown
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 10/14/2018

VAERS ID: 198477 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:Unknown
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 12/24/2020

VAERS ID: 198477 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:Unknown
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 12/30/2020

VAERS ID: 198477 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:Unknown
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 5/7/2021

VAERS ID: 198477 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:Unknown
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


Changed on 5/21/2021

VAERS ID: 198477 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:Unknown
Vaccinated:2002-11-01
Onset:2002-12-01
Submitted:2003-02-26
Entered:2003-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.

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