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This is VAERS ID 69389

(NOTE: This result is from the 12/8/2009 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: 1994-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 94-95) / WYETH PHARMACEUTICALS, INC 4948120 / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood creatine phosphokinase increased, CSF test abnormal, Malaise, Myelitis, Paralysis
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

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;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=69389


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