National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 69389

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 69389 (history)  
Form: Version .0  
Age: 75.0  
Sex: Female  
Location: California  
Vaccinated:1994-11-23
Onset:1994-11-28
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 1994-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1994-1995 / WYETH 4948120 / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: CREATINE PK INC, CSF ABNORM, MALAISE, MYELITIS, PARALYSIS
SMQs:

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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 30nov elevated ck(232 u/l);29nov csf total protein elevated (112 mg/dl);
CDC Split Type:

Write-up: pt recvd vax on 23nov94; felt ill by next day; to hosp 28nov94 w/ leg paralysis; pt dx w/ idiopathic transverse myelitis of the spine;as of 1dec94 sxs improved but remained hosp;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=69389


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166