National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 1/7/2021 release of VAERS data:

This is VAERS ID 26940

Case Details

VAERS ID: 26940 (history)  
Form: Version 1.0  
Age: 77.0  
Sex: Female  
Location: Minnesota  
Vaccinated:1990-11-02
Onset:1990-11-03
   Days after vaccination:1
Submitted: 1990-11-30
   Days after onset:27
Entered: 1990-12-10
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Faecal incontinence, Gait disturbance, Pain, Paraesthesia, Urinary incontinence
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious diarrhoea (broad), Hypoglycaemia (broad)

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, 12 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Annual physical
Preexisting Conditions: ASHD COPD
Allergies:
Diagnostic Lab Data: Neurology Consultation = post vaccination myelopathy
CDC Split Type:

Write-up: Pt vaccinated with Influenza developed pain in lower extremities, numbness of lower abdomen, unstable gait, incontinence of bladder/bowel.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26940


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166