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From the 12/31/2003 release of VAERS data (an older release, current is 9/17/2021):

This is VAERS ID 71489



Case Details

VAERS ID: 71489 (history)  
Form: Version .0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:1994-10-06
Onset:1994-10-14
   Days after vaccination:8
Submitted: 1995-01-27
   Days after onset:105
Entered: 1995-02-21
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1994-1995 / WYETH 4948120 / - A / IM

Administered by: Other       Purchased by: Unknown
Symptoms: ANOREXIA, ASTHENIA, BLIND, DIZZINESS, ENCEPHALITIS
SMQs:

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? Yes, 27 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid 0.5 mg daily; Premarin vaginal cream bid;
Current Illness: unknown
Preexisting Conditions: Cervical carcinoma in 1965 w/total hysterectomy, thyroid carcinoma in 1986 tx w/radiation, arthritis affecting both hips, allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax; 8 days later fell down & was unable to get up;taken to hosp & dx w/ encephalitis; pt was discharged; however, pt is in wheel chair;


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=71489


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