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This is VAERS ID 27754

Case Details

VAERS ID: 27754 (history)  
Form: Version 1.0  
Age: 60.0  
Sex: Female  
Location: Colorado  
Vaccinated:1989-11-03
Onset:1989-11-03
   Days after vaccination:0
Submitted: 1990-12-17
   Days after onset:409
Entered: 1990-12-27
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 4 RA / IM

Administered by: Other       Purchased by: Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (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, 41 days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC Split Type:

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


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