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This is VAERS ID 102181

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 102181
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:1996-11-04
Onset:1996-11-05
Submitted:1997-05-16
Entered:1997-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 / WYETH 4968201 / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: PARALYSIS FACIAL, EYE DIS, DYSPHAGIA, LACRIMATION DIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 1 days p/vax pt devel Bell''s Palsy;As of 7MAY97 pt still exp facial paralysis, lt eye watered & would not close & had diff chewing & eating;no further info was available @ the date of this report;


Changed on 12/8/2009

VAERS ID: 102181 Before After
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:1996-11-04
Onset:1996-11-05
Submitted:1997-05-16
Entered:1997-09-11 1997-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 INFLUENZA (SEASONAL) (FLUSHIELD 96-97) / WYETH WYETH PHARMACEUTICALS, INC 4968201 / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dysphagia, Eye disorder, Facial palsy, Lacrimal disorder, PARALYSIS FACIAL, EYE DIS, DYSPHAGIA, LACRIMATION DIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 897141003L

Write-up: 1 days p/vax pt devel Bell''s Palsy;As of 7MAY97 pt still exp facial paralysis, lt eye watered & would not close & had diff chewing & eating;no further info was available @ the date of this report;


Changed on 8/31/2010

VAERS ID: 102181 Before After
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:1996-11-04
Onset:1996-11-05
Submitted:1997-05-16
Entered:1997-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 96-97) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4968201 / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Eye disorder, Facial palsy, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897141003L

Write-up: 1 days p/vax pt devel Bell''s Palsy;As of 7MAY97 pt still exp facial paralysis, lt eye watered & would not close & had diff chewing & eating;no further info was available @ the date of this report;


Changed on 7/7/2013

VAERS ID: 102181 Before After
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:1996-11-04
Onset:1996-11-05
Submitted:1997-05-16
Entered:1997-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968201 / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968201 / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Eye disorder, Facial palsy, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897141003L

Write-up: 1 days p/vax pt devel Bell''s Palsy;As of 7MAY97 pt still exp facial paralysis, lt eye watered & would not close & had diff chewing & eating;no further info was available @ the date of this report;


Changed on 5/14/2017

VAERS ID: 102181 Before After
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:1996-11-04
Onset:1996-11-05
Submitted:1997-05-16
Entered:1997-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968201 / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Eye disorder, Facial palsy, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897141003L

Write-up: 1 days p/vax pt devel Bell''s Palsy;As of 7MAY97 pt still exp facial paralysis, lt eye watered & would not close & had diff chewing & eating;no further info was available @ the date of this report;


Changed on 9/14/2017

VAERS ID: 102181 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Unknown
Vaccinated:1996-11-04
Onset:1996-11-05
Submitted:1997-05-16
Entered:1997-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968201 / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Eye disorder, Facial palsy, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897141003L

Write-up: 1 days p/vax pt devel Bell''s Palsy;As of 7MAY97 pt still exp facial paralysis, lt eye watered & would not close & had diff chewing & eating;no further info was available @ the date of this report;


Changed on 2/14/2018

VAERS ID: 102181 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:1996-11-04
Onset:1996-11-05
Submitted:1997-05-16
Entered:1997-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968201 / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Eye disorder, Facial palsy, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897141003L

Write-up: 1 days p/vax pt devel Bell''s Palsy;As of 7MAY97 pt still exp facial paralysis, lt eye watered & would not close & had diff chewing & eating;no further info was available @ the date of this report;


Changed on 6/14/2018

VAERS ID: 102181 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:1996-11-04
Onset:1996-11-05
Submitted:1997-05-16
Entered:1997-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968201 / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Eye disorder, Facial palsy, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897141003L

Write-up: 1 days p/vax pt devel Bell''s Palsy;As of 7MAY97 pt still exp facial paralysis, lt eye watered & would not close & had diff chewing & eating;no further info was available @ the date of this report;


Changed on 8/14/2018

VAERS ID: 102181 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:1996-11-04
Onset:1996-11-05
Submitted:1997-05-16
Entered:1997-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968201 / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Eye disorder, Facial palsy, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897141003L

Write-up: 1 days p/vax pt devel Bell''s Palsy;As of 7MAY97 pt still exp facial paralysis, lt eye watered & would not close & had diff chewing & eating;no further info was available @ the date of this report;


Changed on 9/14/2018

VAERS ID: 102181 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:1996-11-04
Onset:1996-11-05
Submitted:1997-05-16
Entered:1997-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968201 / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Eye disorder, Facial palsy, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897141003L

Write-up: 1 days p/vax pt devel Bell''s Palsy;As of 7MAY97 pt still exp facial paralysis, lt eye watered & would not close & had diff chewing & eating;no further info was available @ the date of this report;


Changed on 10/14/2018

VAERS ID: 102181 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:1996-11-04
Onset:1996-11-05
Submitted:1997-05-16
Entered:1997-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968201 / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysphagia, Eye disorder, Facial palsy, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897141003L

Write-up: 1 days p/vax pt devel Bell''s Palsy;As of 7MAY97 pt still exp facial paralysis, lt eye watered & would not close & had diff chewing & eating;no further info was available @ the date of this report;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=102181&WAYBACKHISTORY=ON


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