National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 5/14/2021 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 1.0  
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: 1995-02-15
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948120 / UNK - / IM A

Administered by: Other       Purchased by: Other
Symptoms: Anorexia, Asthenia, Blindness, Dizziness, Encephalitis, Hypokinesia, Malaise, Paralysis
SMQs:, Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

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: ~ ()~~~In patient
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: 895031002A

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;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210514&IDNUMBER=71489


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166