National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/26/2021 release of VAERS data:

This is VAERS ID 102776

Government Disclaimer on use of this data

Case Details

VAERS ID: 102776 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Female  
Location: Colorado  
   Days after vaccination:123
Submitted: 1997-09-09
   Days after onset:1315
Entered: 1997-09-29
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia
SMQs:, Peripheral neuropathy (narrow), Taste and smell disorders (narrow), Guillain-Barre 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC Split Type: 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;

New Search

Link To This Search Result:

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