Vaccine Adverse Event Reporting System Browser
Easily Browse through the VAERS adverse event reports for any year by by type of vaccine, manufacturer.
The following is all the information available on report# VAERS_ID: 746164
Vaccine(s) were received on 09/12/2016
Vaccine(s) were received in the state: CO
At the time of vaccination, patient was : 64 of age
Patient sex : M
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: Y
Patient eventually died?: N

The following Lab Data for this case is available: Exam on 10/18/16

The following Data for this patients HISTORY is available: Diabetes, coronary artery disease post CABG 2008, pacemaker in 2011, sleep apnea for 27 years, hypertension, congestive heart fa

The following Data for this patients ALLERGIES is available: [Heparing, Almond butter" 746165,04/27/2018,CT,49.0,49,,F,,"Patient received the Tdap vaccine this morning and called us this af]

Description of adverse reaction: Patient was unable to get out of bed for three days, reports being comatose, similar to Guillain Barre reaction.


Vaccine(s) associated with report# 746164

TypeNameManufacturerVaccine LOT #Dose SeriesROUTESite
FLU4INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) SANOFI PASTEUR0IM

Symptoms(s) associated with report# 746164

Coma
Guillain-Barre syndrome