| Days after vaccination:||10
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS
||- / UNK
||- / IM
Administered by: Unknown Purchased by: Unknown
Brain stem syndrome,
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Catapres, Tambocor, Digoxin, ASA, Clonidine
Preexisting Conditions: A CVA & Myasthenia gravis have been ruled out.
Diagnostic Lab Data: Spinal Tap & Ct head Scan WNL; Tensilon test - Negative. CSF = wnl, EMG - planned.
CDC Split Type: 904090014
Write-up: Pt vac w/FLUOGEN developed brain stem disorder, weakness of extremities & hypertension, bilat ptosis, difficulty speaking & swallowing. Admitted to Hosp BP 217/87, P 70min, R 20min, BS 225 mg/DL. Botulism suspected. Tensilon test neg.