National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 7/16/2021 release of VAERS data:

This is VAERS ID 69853



Case Details

VAERS ID: 69853 (history)  
Form: Version 1.0  
Age: 71.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:1994-11-01
Onset:1994-11-02
   Days after vaccination:1
Submitted: 1994-12-11
   Days after onset:39
Entered: 1994-12-27
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51088 / 7+ LA / -

Administered by: Other       Purchased by: Unknown
Symptoms: Back pain, Deafness, Laryngitis, Myalgia, Pharyngitis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad), Hearing impairment (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none;~ ()~~~In patient
Other Medications: ferrous sulfate;
Current Illness: none;
Preexisting Conditions: mild anemia;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax;body aches for 2-3 wks (moving around esp in back); inc t then terrible sore throat x 1 wk then 1 wk of laryngitis & complete deafness;


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=69853


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166