National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 35964

Case Details

VAERS ID: 35964 (history)  
Form: Version 1.0  
Age: 69.0  
Sex: Male  
Location: Illinois  
Vaccinated:1990-10-08
Onset:1990-10-13
   Days after vaccination:5
Submitted: 1990-10-18
   Days after onset:5
Entered: 1991-11-01
   Days after submission:379
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Hypokinesia
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (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, 13 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Synthroid, Humulin-NPH reg Insulin, Nitrodur, Lasix
Current Illness: Insulin dependent diabetic, renal failur
Preexisting Conditions: diabetic dependent on insulin, chronic renal failure, CHF, NKA;
Allergies:
Diagnostic Lab Data: EMG-finding compatable w/diffuse neurogenic process w/inflammatory neuropathy; pt refused sp tap;
CDC Split Type:

Write-up: 5 days p/flu shot pt noted weakness of lower extremities progressed to inability to walk & weakness in upper extremities;


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=35964


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