National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 99006

Government Disclaimer on use of this data

Case Details

VAERS ID: 99006 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Male  
Location: New York  
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 1997-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Laboratory test abnormal, Muscle atrophy, Neuropathy, Pain
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Prilosec & propulsid on reg basis
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: EMG affected on axillary suprascapular, median nerves;
CDC Split Type:

Write-up: lt arm pain-same arm as flu shot;supra? deltoid atrophy;EMG affected on axillary suprascapular, median nerve;

New Search

Link To This Search Result:

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