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This is VAERS ID 26332

Case Details

VAERS ID: 26332 (history)  
Form: Version 1.0  
Age: 80.0  
Sex: Female  
Location: Delaware  
Vaccinated:1990-10-08
Onset:1990-10-08
   Days after vaccination:0
Submitted: 1990-10-10
   Days after onset:2
Entered: 1990-10-24
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908181 / UNK - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Hyperhidrosis, Hypoglycaemia, Speech disorder, Vertigo
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (narrow), Hypoglycaemia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No previous hx of hypoglycemia or hyperglycemia
Allergies:
Diagnostic Lab Data: Blood Glucose 22 mg/d1
CDC Split Type: 890284001B

Write-up: Pt vaccinated w/Influenza Virus Vaccine experienced vertigo, slurred speech, & excessive sweating. Hospitalized & found to be severely hypoglycemic.


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