National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 27765

Case Details

VAERS ID: 27765 (history)  
Form: Version 1.0  
Age: 38.0  
Sex: Female  
Location: Washington  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Amnesia, Anaphylactoid reaction, Asthenia, CSF test abnormal, Confusional state, Dyspnoea, Facial palsy, Headache, Hypertension, Intracranial pressure increased, Migraine, Myasthenic syndrome, Neck pain, Papilloedema, Somnolence, Speech disorder, Tachycardia, Visual disturbance
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dementia (broad), Malignancy related conditions (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Hypertension (narrow), Optic nerve disorders (narrow), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (broad), Hypersensitivity (narrow), Arthritis (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: migraine headache, allergy shellfish, iodine
Diagnostic Lab Data: CT scan 4SEP90 normal; EEG 4SEP90- normal; Doppler 4SEP90 normal; MRI 16NOV90 brain-normal; Lumbar puncture 19NOV90 inc. spinal pressure 26cm
CDC Split Type: WAES91010597

Write-up: Immed p/vax anaphylactic rxn w/respiratory distress, increased pulse & sudden hypertension; extreme sharp throbbing pain in back of head; JUL & AUG90 "suffered almost daily" from headaches, memory loss; On 4SEP90 driving lt arm & neck pain.

New Search

Link To This Search Result:

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