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From the 12/10/2020 release of VAERS data (an older release, current is 1/7/2022):

This is VAERS ID 166802

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Case Details

VAERS ID: 166802 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2000-10-16
Onset:2000-11-01
   Days after vaccination:16
Submitted: 2001-01-08
   Days after onset:68
Entered: 2001-03-08
   Days after submission:59
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0346AA / 7+ LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Asthenia, Back pain, Balance disorder, Bone disorder, Demyelination, Dizziness, Ear discomfort, Hyperhidrosis, Hypoacusis, Labyrinthitis, Lymphoedema, Multiple sclerosis, Nausea, Pain, Tinnitus, Tremor, Vertigo, Vision blurred, Vomiting, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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? No
Previous Vaccinations:
Other Medications: Glucophage, Norvasc, Multivitamins, Folic Acid; thiamine
Current Illness: NONE
Preexisting Conditions: NIDDM; HTN
Allergies:
Diagnostic Lab Data: CBC & Chem profile-WNL except WBC-18.8; Audiogram-showed sensorineural hearing loss;Xray-Cervical cord disc disease; lab work-(-); MRI- Acute demyelination disorder vs MS; EEG-(-); Lumbar Puncture-(-)
CDC Split Type:

Write-up: On 10/29/00 onset of nausea and dizziness while in shower, felt unsteady and off balance with whoring vertigo, bilateral tinnitus broke out in a cold sweat and vomited. On 10/30/00, had severe dizziness and was unable to walk without losing balance, veering off to sides. Seen by MD where I work and was given Vistaril IM for nausea and vomiting and scopolamine patches. On 11/2/00, seen in ER as there is no improvement and now also have blurry vision, no appetite with nausea and vomiting, severe tinnitus bilaterally and decreased hearing with bilateral ear fullness. Given IV Phenergan and Antivert. Dx''d with viral labyrinthitis that could take 3 weeks to go away. On 11/10/00, saw ENT because was getting worse; feeling weak and shaky. Rx''d with Valtrex and Valium. Had 3 subsequent flu visits with ENT and Rx''d prednisone, 2 more 7 days courses of Valtrex and Dyazide to decrease fluid in inner ear. Repeat Audiogram on 12/6/00 showed improvement. Unable to drive or work for almost 4 weeks due to severe vertigo and unsteady gait. On 12/29/00, developed swelling of right jaw and neck that is tender to touch and moves when swallowing but no sore throat. I have upper back pain (feel like my head is too heavy for my neck to support. Left arm and leg weakness. On 12/19/00, pt (functions continue to deteriorate). Fatigue and tires easily from 11/01/00 to present 1/8/01. Treatment: Vitamins, Tylenol, physical therapy, rest and flu shots.


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