National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/10/2021 release of VAERS data:

This is VAERS ID 80967



Case Details

VAERS ID: 80967 (history)  
Form: Version 1.0  
Age: 52.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1993-11-18
Onset:1993-11-27
   Days after vaccination:9
Submitted: 1995-12-21
   Days after onset:754
Entered: 1996-01-22
   Days after submission:32
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Hypertension, Hypothermia, Myasthenic syndrome, Myelitis, Neuropathy, Pain, Paralysis, Urinary incontinence
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Accidents and injuries (broad), Hypertension (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Immune-mediated/autoimmune disorders (narrow)

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, 27 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tenormin tablets
Current Illness: unk
Preexisting Conditions: pt suffered a broken neck & required cervical fusion 20yrs prior to ADE;also had a hx of HTN, hyperglycemia & palpitations
Allergies:
Diagnostic Lab Data: x-ray c-spine fusion at c3-4 & c4-5 (old); MRI c-spine small disc herniation at c6-7;MRI thoracic spine small asymmetric bulging disc T10-11;MRI-lumbar spine unremarkable; Thoraco-lumb myelogram asymmetric bulging disc T10-11 w/moderate bon
CDC Split Type: 896004001L

Write-up: pt recvd vax 18NOV93 & 27NOV93 7AM pt exp numbness & tingling sensation in both arms;weakness progressed throughout the day & hardly able to move extremities;gen weakness-stinging sensation;HTN BP 197/123;urinary incontinence;paresthesia


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=80967


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