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From the 11/26/2021 release of VAERS data:

This is VAERS ID 86284

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Case Details

VAERS ID: 86284 (history)  
Form: Version 1.0  
Age: 64.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1995-10-11
Onset:1995-10-16
   Days after vaccination:5
Submitted: 1996-05-01
   Days after onset:198
Entered: 1996-05-23
   Days after submission:22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958113 / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Apnoea, Electroencephalogram abnormal, Encephalopathy, Hallucination, Myoclonus, Paranoia, Pneumonia, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (narrow), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hostility/aggression (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Immune-mediated/autoimmune disorders (broad)

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? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Haldol
Current Illness: unk
Preexisting Conditions: pt was described as prev healthy;has hx of depression
Allergies:
Diagnostic Lab Data: MRI''s- nondiagnostic; EEG''s-abnormal;Spinal Tap- nondiagnostic
CDC Split Type: 896127001L

Write-up: pt recv vax 11OCT95&4 days later pt devel hallucinations¶noid ideation;pt hosp w/resp arrest&required mechanical ventilation;pt is now vegetative state;poss creutzfeldt-Jakob disease;also therapy for depression;


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