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

This is VAERS ID 83517



Case Details

VAERS ID: 83517 (history)  
Form: Version 1.0  
Age: 3.0  
Sex: Female  
Location: Arizona  
Vaccinated:1995-10-27
Onset:1995-10-31
   Days after vaccination:4
Submitted: 1996-02-21
   Days after onset:113
Entered: 1996-03-08
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958102 / UNK - / IM

Administered by: Private       Purchased by: Other
Symptoms: Brain oedema, Coma, Delirium, Drug ineffective, Encephalopathy, Grand mal convulsion, Hydrocephalus, Infection
SMQs:, Lack of efficacy/effect (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 82 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: URI, d; fever
Preexisting Conditions: premature at 6 mo gestation;severe bronchopulmonary dysplasia requiring intubation/tracheostomy;hypotonia accompanying sz activity in oct 95;d,URI,fever;
Allergies:
Diagnostic Lab Data: CT & MRI head - severe white matter disease & hydrocephalus;
CDC Split Type: 896052006L

Write-up: pt recv vax;31oct95 devel fever of 106 & exp sz lasting over 1 hr;adm to hosp;exp "oth sz & coma intermittently";this resulted in "3/4 brain damage per grandma;devel encephalopathy & hydrocephalus per MD;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=83517


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