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This is VAERS ID 50587

Case Details

VAERS ID: 50587 (history)  
Form: Version 1.0  
Age: 65.0  
Sex: Male  
Location: California  
Vaccinated:1990-11-26
Onset:1990-12-12
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK RA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Brain oedema, Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (narrow), Convulsions (narrow), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC Split Type:

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


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