National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 12/31/2003 release of VAERS data (an older release, current is 9/10/2021):

This is VAERS ID 72173

Case Details

VAERS ID: 72173 (history)  
Form: Version .0  
Age: 46.7  
Sex: Male  
Location: Missouri  
   Days after vaccination:171
Submitted: 1994-11-11
   Days after onset:224
Entered: 1995-03-27
   Days after submission:136
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 / WYETH - / - - / IM

Administered by: Public       Purchased by: Unknown

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;

New Search

Link To This Search Result:

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