National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 27000

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27000
VAERS Form:
Age:28.0
Sex:Female
Location:Oklahoma
Vaccinated:1989-08-15
Onset:1989-08-15
Submitted:0000-00-00
Entered:1990-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS / LEDERLE 241916 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: DYSPNEA, NEUROPATHY, HEART ARREST, PARESTHESIA, INFECT URIN TRACT

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy report dx: acute inflammatory polyneuropathy, interstitial pneumonitis, urinary tract infection, pneumothorax, cytomegalovirus infection, Epstein-Barr virus infection & cardiorespiratory arrest.
CDC 'Split Type':

Write-up: Pt vaccinated with TD c/o numbness of hand & feet 24-48 hrs after vaccination, decreased sensation in both feet (to pinprick), developed polyneuropathy & required mechanical ventilation, developed respiratory distress, suffered CR arrest.


Changed on 12/8/2009

VAERS ID: 27000 Before After
VAERS Form:
Age:28.0
Sex:Female
Location:Oklahoma
Vaccinated:1989-08-15
Onset:1989-08-15
Submitted:0000-00-00
Entered:1990-12-18 1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / LEDERLE LEDERLE LABORATORIES 241916 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cardiac arrest, Dyspnoea, Neuropathy, Paraesthesia, Pneumonia, Pneumothorax, Urinary tract infection, DYSPNEA, NEUROPATHY, HEART ARREST, PARESTHESIA, INFECT URIN TRACT

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy report dx: acute inflammatory polyneuropathy, interstitial pneumonitis, urinary tract infection, pneumothorax, cytomegalovirus infection, Epstein-Barr virus infection & cardiorespiratory arrest.
CDC 'Split Type': (blank) 890189201

Write-up: Pt vaccinated with TD c/o numbness of hand & feet 24-48 hrs after vaccination, decreased sensation in both feet (to pinprick), developed polyneuropathy & required mechanical ventilation, developed respiratory distress, suffered CR arrest.


Changed on 5/14/2017

VAERS ID: 27000 Before After
VAERS Form:
Age:28.0
Sex:Female
Location:Oklahoma
Vaccinated:1989-08-15
Onset:1989-08-15
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 241916 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cardiac arrest, Dyspnoea, Neuropathy, Paraesthesia, Pneumonia, Pneumothorax, Urinary tract infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy report dx: acute inflammatory polyneuropathy, interstitial pneumonitis, urinary tract infection, pneumothorax, cytomegalovirus infection, Epstein-Barr virus infection & cardiorespiratory arrest.
CDC 'Split Type': 890189201

Write-up: Pt vaccinated with TD c/o numbness of hand & feet 24-48 hrs after vaccination, decreased sensation in both feet (to pinprick), developed polyneuropathy & required mechanical ventilation, developed respiratory distress, suffered CR arrest.


Changed on 9/14/2017

VAERS ID: 27000 Before After
VAERS Form:(blank) 1
Age:28.0
Sex:Female
Location:Oklahoma
Vaccinated:1989-08-15
Onset:1989-08-15
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 241916 / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cardiac arrest, Dyspnoea, Neuropathy, Paraesthesia, Pneumonia, Pneumothorax, Urinary tract infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy report dx: acute inflammatory polyneuropathy, interstitial pneumonitis, urinary tract infection, pneumothorax, cytomegalovirus infection, Epstein-Barr virus infection & cardiorespiratory arrest.
CDC 'Split Type': 890189201

Write-up: Pt vaccinated with TD c/o numbness of hand & feet 24-48 hrs after vaccination, decreased sensation in both feet (to pinprick), developed polyneuropathy & required mechanical ventilation, developed respiratory distress, suffered CR arrest.


Changed on 2/14/2018

VAERS ID: 27000 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Oklahoma
Vaccinated:1989-08-15
Onset:1989-08-15
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 241916 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cardiac arrest, Dyspnoea, Neuropathy, Paraesthesia, Pneumonia, Pneumothorax, Urinary tract infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy report dx: acute inflammatory polyneuropathy, interstitial pneumonitis, urinary tract infection, pneumothorax, cytomegalovirus infection, Epstein-Barr virus infection & cardiorespiratory arrest.
CDC 'Split Type': 890189201

Write-up: Pt vaccinated with TD c/o numbness of hand & feet 24-48 hrs after vaccination, decreased sensation in both feet (to pinprick), developed polyneuropathy & required mechanical ventilation, developed respiratory distress, suffered CR arrest.


Changed on 6/14/2018

VAERS ID: 27000 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Oklahoma
Vaccinated:1989-08-15
Onset:1989-08-15
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 241916 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cardiac arrest, Dyspnoea, Neuropathy, Paraesthesia, Pneumonia, Pneumothorax, Urinary tract infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy report dx: acute inflammatory polyneuropathy, interstitial pneumonitis, urinary tract infection, pneumothorax, cytomegalovirus infection, Epstein-Barr virus infection & cardiorespiratory arrest.
CDC 'Split Type': 890189201

Write-up: Pt vaccinated with TD c/o numbness of hand & feet 24-48 hrs after vaccination, decreased sensation in both feet (to pinprick), developed polyneuropathy & required mechanical ventilation, developed respiratory distress, suffered CR arrest.


Changed on 8/14/2018

VAERS ID: 27000 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Oklahoma
Vaccinated:1989-08-15
Onset:1989-08-15
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 241916 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cardiac arrest, Dyspnoea, Neuropathy, Paraesthesia, Pneumonia, Pneumothorax, Urinary tract infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy report dx: acute inflammatory polyneuropathy, interstitial pneumonitis, urinary tract infection, pneumothorax, cytomegalovirus infection, Epstein-Barr virus infection & cardiorespiratory arrest.
CDC 'Split Type': 890189201

Write-up: Pt vaccinated with TD c/o numbness of hand & feet 24-48 hrs after vaccination, decreased sensation in both feet (to pinprick), developed polyneuropathy & required mechanical ventilation, developed respiratory distress, suffered CR arrest.


Changed on 9/14/2018

VAERS ID: 27000 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Oklahoma
Vaccinated:1989-08-15
Onset:1989-08-15
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 241916 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cardiac arrest, Dyspnoea, Neuropathy, Paraesthesia, Pneumonia, Pneumothorax, Urinary tract infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy report dx: acute inflammatory polyneuropathy, interstitial pneumonitis, urinary tract infection, pneumothorax, cytomegalovirus infection, Epstein-Barr virus infection & cardiorespiratory arrest.
CDC 'Split Type': 890189201

Write-up: Pt vaccinated with TD c/o numbness of hand & feet 24-48 hrs after vaccination, decreased sensation in both feet (to pinprick), developed polyneuropathy & required mechanical ventilation, developed respiratory distress, suffered CR arrest.


Changed on 10/14/2018

VAERS ID: 27000 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Oklahoma
Vaccinated:1989-08-15
Onset:1989-08-15
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 241916 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cardiac arrest, Dyspnoea, Neuropathy, Paraesthesia, Pneumonia, Pneumothorax, Urinary tract infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy report dx: acute inflammatory polyneuropathy, interstitial pneumonitis, urinary tract infection, pneumothorax, cytomegalovirus infection, Epstein-Barr virus infection & cardiorespiratory arrest.
CDC 'Split Type': 890189201

Write-up: Pt vaccinated with TD c/o numbness of hand & feet 24-48 hrs after vaccination, decreased sensation in both feet (to pinprick), developed polyneuropathy & required mechanical ventilation, developed respiratory distress, suffered CR arrest.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27000&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166