National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/17/2021 release of VAERS data:

This is VAERS ID 27371



Case Details

VAERS ID: 27371 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Male  
Location: Maryland  
Vaccinated:1990-10-17
Onset:1990-10-18
   Days after vaccination:1
Submitted: 1990-12-17
   Days after onset:60
Entered: 1991-01-11
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Sinemet, Aldoril
Current Illness:
Preexisting Conditions: pt w/known Cerebellar degeneration w/ataxia.
Allergies:
Diagnostic Lab Data:
CDC Split Type: 904090017

Write-up: Pt vaccinated with FLUOGEN developed generalized weakness & increased ataxia. Recovered w/in 7 days.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27371


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