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This is VAERS ID 51272

Case Details

VAERS ID: 51272 (history)  
Form: Version 1.0  
Age: 67.0  
Sex: Male  
Location: Unknown  
Vaccinated:1992-10-12
Onset:1992-10-22
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 1993-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Encephalitis, Myelitis, Paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
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: Voltaren, Vasotec & Vicodin
Current Illness:
Preexisting Conditions: hypertension, arthritis
Allergies:
Diagnostic Lab Data: neg urine & blood cult; carotid doppler & echo cardiogram nl; MRI brain stem nl; Thyroid profile nl; spinal tap nl;
CDC Split Type:

Write-up: suspected post influenza vax encephalitis w/myelitis/ensuing motor neuron paresis; upon discharge, pt was able to ambulate/speech improved;


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