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Found 12 cases where Location is Vermont and Disabled and Vaccination Date on/after '2002-01-01'

Table

   
Year of VaccinationCountPercent
200318.33%
200418.33%
200518.33%
200618.33%
2007216.67%
200818.33%
201018.33%
2014216.67%
201718.33%
201818.33%
TOTAL12100%

Case Details

VAERS ID: 220197 (history)  
Form: Version 1.0  
Age: 5.0  
Gender: Female  
Location: Vermont  
Vaccinated:2004-04-21
Onset:2004-04-23
   Days after vaccination:2
Submitted: 2004-04-23
   Days after onset:0
Entered: 2004-05-12
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 587A2 / UNK LA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR W0334 / 5 RA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0138N / 3 RA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cellulitis
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BD Safety Glide
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Patient received 5 year old immunizations on 4/21/04. Patient received DTaP only in left arm. Patient was seen on 4/23/04 for cellulitis left arm and was prescribed antibiotic course. Nurse follow up on 05/18/04 states: ADD: MMR # 2, Merck, Lot # 0138N, RA; IPV # 4, Aventis, Lot # W0334, RA.


VAERS ID: 228984 (history)  
Form: Version 1.0  
Age: 30.0  
Gender: Female  
Location: Vermont  
Vaccinated:2003-08-04
Onset:2003-08-10
   Days after vaccination:6
Submitted: 2004-11-09
   Days after onset:457
Entered: 2004-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0 / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Bronchitis, Cyst, Disturbance in attention, Ear disorder, Fatigue, Fibromyalgia, Headache, Infection, Laboratory test abnormal, Lymphadenopathy, Memory impairment, Myalgia, Night sweats, Pharyngitis, Photophobia, Pyrexia, Rash, Rhinitis, Sinusitis, Skin ulcer, Visual disturbance
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal infections (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (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? No
Previous Vaccinations:
Other Medications: allegra; depakote
Current Illness: none
Preexisting Conditions: environmental allergies; migraine headaches; asthma
Allergies:
Diagnostic Lab Data: Medical Records received on 2/02/2005 states lab values abnormal.
CDC Split Type:

Write-up: By August 12, I was experiencing exhaustion, a low-grade fever, swollen lymph nodes, a rash on my neck, headaches, achiness in muscles and joints; this continued through September; by October, I began to get a series of infections (sinus infection, colds, bronchitis); I began to experience visual difficulties like light sensitivity; by November, my jaw was tightening up, my ears were experiencing painful pressure, I had developed night sweats, muscles were tense and painful throughout my body, I had developed cyst-like lesions on my face, and I was experiencing multiple infections continuously; I began to have cognitive difficulties (trouble concentrating, memory problems and an inability to read). Multiple courses of antibiotics did nothing to help. By December I was bedridden. By January, I had moved to my parents'' home to receive care, and go to our family physician. He diagnosed me with Chronic Fatigue Syndrome and Fibromyalgia. My symptoms continue to this day, over a year after the innoculations.


VAERS ID: 273638 (history)  
Form: Version 1.0  
Age: 70.0  
Gender: Female  
Location: Vermont  
Vaccinated:2006-12-18
Onset:2007-01-17
   Days after vaccination:30
Submitted: 2007-03-05
   Days after onset:47
Entered: 2007-03-08
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2164AA / UNK LA / -

Administered by: Private       Purchased by: Other
Symptoms: Body temperature increased, Diplopia, Dysarthria, Dysphagia, Guillain-Barre syndrome, Hypoaesthesia, Intensive care, Life support, Mobility decreased, Muscular weakness, Neurological examination, VIIth nerve paralysis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Ocular motility disorders (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 42 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions: NONE records received 3/19/07-PMH:Hypothyroidism. Telangiectasia. Hyperlipidemia. Migraines. Depression. COPD.
Allergies:
Diagnostic Lab Data: Neurology Exam records received 3/19/07-CBC:normal. Sed rate 55. IGA deficiency. CSF glucose 62, protein 35, Streptococcal antigen negative. ANA titer 1:40 and RPR nonreactive. CSF cultures negative and lyme serology negative. MRI of brain negative. CXR negative. Barium swallow: showed a very weak swallow with evidence of penetration and this patient is at risk for aspiration.
CDC Split Type:

Write-up: Onset 1/17/07 of weakness in legs ("rubbery feeling"), numbness in hands progressing to biceps - T-102 - neuro consult with diagnosis of Sensory Guillain Barre - in ICU on ventilator and receiving IVIG. In rehab 2-5 ---$g 2-28-07: discharged with diplopia; right 7th cranial nerve palsy; dysarthria; dysphagia and decreased mobility. 03/19/07-records received from facility for DOS-01/18/07-02/01/07 and acute rehabilitation from 02/05-02/28/07 DC DX: Guillain Barre Syndrome DC DX: Neurological disorder with acute inflammatory demyelinating polyneuropathy "Guillain-Barre Syndrome". Right VII cranial nerve palsy. Diplopia. Dysphagia. Dysarthria. Steroid versus ICU psychosis, resolved. Depression/Anxiety. Pulmonary issues, status post pneumonia, History of COPD and pulmonary involvment of AIDP. Decreased mobility. Decreased ADL. Admission to acute inpatient rehabilitation. Presented with C/O numbness in hands and weakness in legs. Noted a slight cough running nose and watery eyes recently. Temp of 102. Admitted. Continued to have muscular weakness, ataxia and difficulty with ambulation. Intubated and extubated.


VAERS ID: 311070 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Male  
Location: Vermont  
Vaccinated:2007-07-27
Onset:2007-07-28
   Days after vaccination:1
Submitted: 2008-04-28
   Days after onset:275
Entered: 2008-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2771AA / 1 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood test abnormal, Impaired healing, Limb injury, Localised infection, Micturition urgency, Thirst, Type 1 diabetes mellitus, Urinary retention, Urine analysis abnormal
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad), Accidents and injuries (narrow), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient was given antibiotics and general anaesthesia on 7/28/07 in connection with the removal of the sewing needle broken off in his foot. Otherwise he was taking no medications.
Current Illness: foot injury after stepping on sewing needle
Preexisting Conditions: eczema PMH: FT, c-section, 8 lbs 5 oz. Chronic vomiting ages 2-4 yo; endoscopy WNL; spontaneously resolved. Eczema. Stepped on needle 1 mo prior to consult necessitating surgical removal & wound had not healed properly. Active in sports several hours/day. FAMILY HX: Father w/eczema, Mom w/breast cancer s/p mastectomy, allergies, type 1 & type 2 diabetes, HTN, obesity, psychiatric disorder.
Allergies:
Diagnostic Lab Data: Diagnosis of Type I Diabetes through urine testing and blood work, ordered by private doctor and again at Medical Center. PCP LABS: 8/24/07 glucose 254 (H) & UA revealed glucose & ketones. Bicarbonate 29.5. Endocrinology Clinic LABS: HA1c 10 (H). Urine glucose 1000. Islet cell Ab 20 (H); GAD AB 3.9 (H). Serum insulin 37 (H)
CDC Split Type:

Write-up: The day after receiving the tdap vaccine, patient began to have an unquenchable thirst and the very frequent urge to urinate. When he did urinate, he still had the sensation of needing to urinate more, but he never felt like he could empty his bladder completely. He also had a foot injury that failed to heal properly and became infected. These symptoms continued for nearly a month until he was diagnosed with Type I diabetes on 8/24/07. 5/9/08 Reviewed Endocrinology medical records of 8/28/07-4/8/2008. FINAL DX: new onset Type I diabetes mellitus Records reveal patient experienced polyuria, polydipsia, fatigue & non healing wound for a few weeks prior to initial endocrine eval 8/28/2007. Seen by PCP 8/27 where blood glucose was 254 w/(+)urine ketones. Started on insulin that day & referred to endocrine. Endocrine exam revealed 84th percentile height & 70th percentile weight. Patient starting new school in 2 days. 5/13/08 Reviewed PCP office medical records of 8/24/2007-3/19/2008. Tx w/insulin & referred to endocrinology. Eye exam 3/2008 WNL.


VAERS ID: 321588 (history)  
Form: Version 1.0  
Age: 75.0  
Gender: Female  
Location: Vermont  
Vaccinated:2007-08-14
Onset:2007-08-14
   Days after vaccination:0
Submitted: 2008-07-30
   Days after onset:351
Entered: 2008-08-06
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0958F / UNK UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Full blood count, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (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:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: complete blood cell, no result reported
CDC Split Type: WAES0709USA04396

Write-up: Information has been received from a registered nurse concerning a 75 year old female with no pertinent medical history and no history of drug reactions/allergies who on 14-AUG-2007 was vaccinated with PNEUMOVAX 23 (lot # 655289/0958F) 0.5 ml IM in the left triceps. There was no concomitant medication. On 14-AUG-2007, the patient experienced an injection site reaction when the patient got home from the vaccination. At an office visit on 17-AUG-2007, the reaction was described as a red, tender, warm area with induration at the injection site that was 16 by 17 mm. The injection site reaction was characterized as possible cellulitis. On an unspecified date, a complete blood count was performed, no results reported. The patient was given a prescription for KEFLEX 500 mg three times a day for 7 days. The patient was contacted by the nurse by phone on 24-AUG-2007. The patient recovered on 27-AUG-2007. The registered nurse considered the events to be disabling. The nurse requested a lot check. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. The lot met the requirements of the government and was released. Additional information has been requested.


VAERS ID: 327285 (history)  
Form: Version 1.0  
Age: 42.0  
Gender: Male  
Location: Vermont  
Vaccinated:2008-09-22
Onset:2008-09-22
   Days after vaccination:0
Submitted: 2008-10-06
   Days after onset:14
Entered: 2008-10-07
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0203U / 2 LA / SC

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Chills, Disability, Fatigue, Full blood count, Induration, Injection site mass, Injection site pain, Malaise, Myalgia, Pain, Pain in extremity, Skin warm, Stomach discomfort, Tension
SMQs:, Rhabdomyolysis/myopathy (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament 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? No
Previous Vaccinations:
Other Medications: Tuberculin purified protein
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: complete blood cell, results pending
CDC Split Type: WAES0810USA00220

Write-up: Information has been received from a physician concerning a 42 year old male surgeon with no allergies or medical history who on 22-SEP-2008 was vaccinated subcutaneously in the left arm with a "suspected" 0.5 ml second dose of MMR II (lot # 656428/0203U). Concomitant therapy included a dose of tuberculin purified protein derivative in the right arm. Five days later, on 27-SEP-2008, the patient developed malaise, tiredness and possibly fever. On 29-SEP-2008 the patient developed soreness and achiness up and down triceps of his left arm. Unspecified medical attention was received in the physician''s office. The patient is taking 1600 mg of ibuprofen daily. A complete blood count was drawn and the results are pending. The patient was reported as not recovered from malaise, tiredness, possibly fever and soreness and achiness up and down triceps of left arm. The reporter stated since the patient was a surgeon there was some mild disability. A product quality complaint was not involved. Additional information was received from the health care provider that the patient experienced no congestion or other viral symptoms and reported having low energy. On "Monday" the patient had chills and a painful mass-like area around the injection site. The patient reported feeling slightly sick to his stomach at some point. The patient treated himself with LEVAQUIN. The reporting health care provider suspected myalgia. The patient''s triceps were slightly warm, tense, with no mass felt, but "mass" appeared to be traveling down the arm and extending. The patient''s skin appeared normal with no joint symptoms reported. Additional information has been requested.


VAERS ID: 393169 (history)  
Form: Version 1.0  
Age: 0.33  
Gender: Male  
Location: Vermont  
Vaccinated:2010-01-15
Onset:2010-01-16
   Days after vaccination:1
Submitted: 2010-07-20
   Days after onset:184
Entered: 2010-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C35333AA / 2 LL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB799AA / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D84740 / 2 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FA966A / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Biopsy muscle abnormal, Blood creatine phosphokinase increased, Central nervous system lesion, Disturbance in social behaviour, Eye movement disorder, Irritability, Myofascitis, Nuclear magnetic resonance imaging brain abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Dementia (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Drug abuse and dependence (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Ocular motility disorders (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Prematurity Gastroesophageal Reflux
Allergies:
Diagnostic Lab Data: MRI: lesions in basal ganglia, thalamus, brainstem. Elevated CK initially Muscle Biopsy: Macrophagic myofasciitis
CDC Split Type:

Write-up: Patient became progressively more irritable over 24 hours. He then stopped interacting and had dancing eye movements. He was brought to the local hospital and underwent a neurologic workup yielding a diagnosis of possible Leigh Disease. He had a muscle biopsy that showed macrophagic myofasciitis that was attributed to the immunizations.


VAERS ID: 480254 (history)  
Form: Version 1.0  
Age: 9.0  
Gender: Female  
Location: Vermont  
Vaccinated:2005-07-08
Onset:2005-08-01
   Days after vaccination:24
Submitted: 2013-01-04
   Days after onset:2713
Entered: 2013-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR U1259AA / UNK LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Depression, Hyperhidrosis, Laboratory test abnormal, Methylenetetrahydrofolate reductase deficiency
SMQs:, Neuroleptic malignant syndrome (broad), Congenital, familial and genetic disorders (narrow), Depression (excl suicide and self injury) (narrow), Hypoglycaemia (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? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MTHFR Mutation A1298C AB Heterozygous, tested positive on 11/09/2012. We have been trying to figure out the depression and hyperhidrosis for 7 years. This test is what linked it to the vaccine for me.
CDC Split Type:

Write-up: Patient got hyperhidrosis of the hands and feet after the vaccine and also depression, neither of which she had had before. We asked for just the tetanus vaccine, but was administered DTaP.


VAERS ID: 561382 (history)  
Form: Version 1.0  
Age: 33.0  
Gender: Female  
Location: Vermont  
Vaccinated:2014-11-07
Onset:2014-11-08
   Days after vaccination:1
Submitted: 2015-01-13
   Days after onset:66
Entered: 2015-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER U499ODA / UNK LA / IM

Administered by: Public       Purchased by: Other
Symptoms: Anxiety, Depression, Dizziness, Electromyogram, Headache, Hypoaesthesia, Malaise, Muscular weakness, Nuclear magnetic resonance imaging brain, Nuclear magnetic resonance imaging spinal, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Hypoglycaemia (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? No
Previous Vaccinations:
Other Medications: Prenatal multivitamin, vitamin C, vitamin D, Fish "More milk plus" (an herbal supplement for lactation).
Current Illness: No
Preexisting Conditions: 8 weeks postpartum, allergic to PCN and latex, Celiac disease.
Allergies:
Diagnostic Lab Data: EMG, MRI brain and C-spine.
CDC Split Type:

Write-up: Please see physician records; acute onset of headache, dizziness, general malaise followed by acute bilateral upper extremity paresthesias (numbness and tingling, mild component of weakness). Symptoms listed first were gone within 48 hours of the vaccine administration time. However, upper extremity paresthesias persisted- very intense for about 1-2 weeks with a gradual decrease in symptoms at 2-3 weeks and minimal symptoms after 3-4 weeks and nearly complete resolution of symptoms about 5-6 weeks later. Also caused anxiety and depression, secondary to symptoms.


VAERS ID: 601795 (history)  
Form: Version 1.0  
Age: 65.0  
Gender: Female  
Location: Vermont  
Vaccinated:2014-10-15
Onset:2014-10-15
   Days after vaccination:0
Submitted: 2015-10-10
   Days after onset:360
Entered: 2015-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER T58106 / UNK UN / UN

Administered by: Public       Purchased by: Private
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging, Pain in extremity, Rotator cuff syndrome, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Tendinopathies and ligament disorders (narrow)

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? No
Previous Vaccinations:
Other Medications: CALCIUM, FISH OIL
Current Illness: NO
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI AND XRAY
CDC Split Type:

Write-up: PAIN AND WEAKNESS OF RIGHT ARM. HURT FOR SEVERAL WEEKS. TOOK IBUPROPHEN. TOLD DOCTOR AT NEXT VISIT. PAIN SUBSIDED, BUT CONTINUOUS. IN FEBRUARY, ROTATOR CUFF TORE AFTER SIMPLE MOVEMENT OF ARM. XRAYS AND MRI - YEAR LATER STILL HURTS.


VAERS ID: 735957 (history)  
Form: Version 2.0  
Age: 55.0  
Gender: Male  
Location: Vermont  
Vaccinated:2017-12-07
Onset:2017-12-10
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2018-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UT5954LA / UNK RA / IM

Administered by: Private       Purchased by: 0
Symptoms: Angiotensin converting enzyme, Antibody test negative, Asthenia, Balance disorder, CSF test normal, Cerebral venous thrombosis, Cervical radiculopathy, Coagulation test, Computerised tomogram head abnormal, Confusional state, Culture negative, Diplopia, Disturbance in attention, Haematology test normal, Headache, Injection site pain, Loss of personal independence in daily activities, Lumbar puncture, Mental status changes, Musculoskeletal stiffness, Nausea, Noninfective encephalitis, Nuclear magnetic resonance imaging, Pain, Pain in extremity, Polymerase chain reaction, Scan with contrast, Serology negative, Speech disorder, Subdural effusion, VIth nerve paralysis, Venogram, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, venous (narrow), Dystonia (broad), Parkinson-like events (broad), Thrombophlebitis (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: COLESTID; B complex vitamins, Vitamin D, Vitamin C
Current Illness: None
Preexisting Conditions: Familial hyperlipidemia
Allergies: Pravastatin (felt ill)
Diagnostic Lab Data: CT studies of the brain with and without contrast 12/25, 12/27, 12/28 and 12/29. MRI studies with and without contrast 12/25,12/29, 12/30 and 1/18. MRI venogram 12/26. Lumbar puncture 12/27. Multiple studies including cultures, PCR and antibody studies for wide variety of infectious agents (all negative), hypercoagulability studies, CSF ACE determination (normal), multiple hematologic, serum studies, all unremarkable. No etiologic agent for these events found except for proceeding immunization. No prior history of thromboembolic episodes for this patient or his family.
CDC Split Type:

Write-up: 12/7/2017 received immunization. 12/10/2017 noted right arm immunization site extremely sore and developed severe headache, nausea, vomiting, stiff neck, pain radiating down into right shoulder and arm especially with head movement. 12/13/2017 developed diplopia with worsening of all symptoms. Around 12/23 experiencing global weakness, mental status changes, confusion, difficulties of concentration, speech and balance. Completely incapacitated by 12/25 when he presented to the emergency department. CT of brain completed with evidence of acute right cortical vein thrombosis. Transferred emergently to another Hospital. He underwent intensive workup confirming right posterior, parietal and frontal cortical vein thrombosis with associated subarachnoid and subdural inflammation with effusions. Left complete sixth cranial nerve palsy. Evidence of right cervical neuralgia. Hospitalized 12/25-12/31/2017. Symptoms slowly improving except for a sixth nerve palsy which is unchanged.


VAERS ID: 747124 (history)  
Form: Version 2.0  
Age: 66.0  
Gender: Male  
Location: Vermont  
Vaccinated:2018-04-19
Onset:2018-04-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2018-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. N003993 / UNK LA / -

Administered by: Unknown       Purchased by: 0
Symptoms: Chills, Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Oesophageal discomfort, Pain
SMQs:, Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)

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? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma; Blood pressure high; Cholesterol levels raised; Congenital spinal stenosis; Seasonal allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: US0095075131804USA010028

Write-up: This spontaneous report was received from a 66 year old male physician referring to himself. With concurrent conditions of asthma, hypertension, increased blood cholesterol, congenital spinal stenosis and seasonal allergy, additionally the patient was vaccinated with PREVENAR 13, 14 months ago. No other medical history, concurrent conditions, drug reactions/allergies and concomitant medications were not provided. On 19-APR-2018, the patient was vaccinated with PNEUMOVAX 23 lot # N003993, expiration date 20-OCT-2018, (strength was not reported) in the left arm for prophylaxis. On the same date, within a few hours after the vaccine, the patient reported he began to experience pain, warmth, swelling and redness in the left arm within a few hours after receiving the PNEUMOVAX 23, and 5 to 6 hours after receiving the vaccination the symptoms extended to his left bicep. On 20-APR-2018, the patient experienced fatigue. The reporter stated that the pain, redness, swelling at the injection site "progressed from the antecubital fossa to the anterior, medial aspect" of his left elbow on 21-APR-2018. On the same date, the physician reported the pain from his left shoulder to the left clavicle. The pain from his left clavicle extended to the mediastinum that increased in severity when he was lying down. The physician reported he began to experience chills and esophageal discomfort that made it difficult to eat and drink. On 21-APR-2018, the patient took 80 mg of prednisone (unknown manufacturer) and on 22-APR-2018, he took 60 mg of prednisone (unknown manufacturer). No lab tests were performed to the patient. The outcome of generalized pain, oesophageal discomfort, fatigue, injection site warmth, swelling and erythema was reported as recovering, "reported as symptoms improved by 50%". The outcome of chills was reported as recovered. The reporter considered the events to be serious due to disability. The causality between the events and the therapy was not reported.


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