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This is VAERS ID 102708

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 102708
VAERS Form:
Age:40.5
Sex:Female
Location:Colorado
Vaccinated:1996-10-01
Onset:1996-11-02
Submitted:1997-09-24
Entered:1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / 9 A / -

Administered by: Private      Purchased by: Unknown
Symptoms: ARTHRITIS, NEUROPATHY

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC 'Split Type':

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;


Changed on 12/8/2009

VAERS ID: 102708 Before After
VAERS Form:
Age:40.5
Sex:Female
Location:Colorado
Vaccinated:1996-10-01
Onset:1996-11-02
Submitted:1997-09-24
Entered:1997-09-29 1997-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / 9 A / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Arthritis, Neuropathy, ARTHRITIS, NEUROPATHY

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC 'Split Type':

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;


Changed on 7/7/2013

VAERS ID: 102708 Before After
VAERS Form:
Age:40.5
Sex:Female
Location:Colorado
Vaccinated:1996-10-01
Onset:1996-11-02
Submitted:1997-09-24
Entered:1997-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 9 A / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 9 A / -

Administered by: Private      Purchased by: Private
Symptoms: Arthritis, Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC 'Split Type':

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;


Changed on 12/14/2016

VAERS ID: 102708 Before After
VAERS Form:
Age:40.5
Sex:Female
Location:Colorado
Vaccinated:1996-10-01
Onset:1996-11-02
Submitted:1997-09-24
Entered:1997-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 9 A / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 9 A / -

Administered by: Private      Purchased by: Private
Symptoms: Arthritis, Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC 'Split Type':

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;


Changed on 2/14/2017

VAERS ID: 102708 Before After
VAERS Form:
Age:40.5 40.0
Sex:Female
Location:Colorado
Vaccinated:1996-10-01
Onset:1996-11-02
Submitted:1997-09-24
Entered:1997-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 9 A / -

Administered by: Private      Purchased by: Private
Symptoms: Arthritis, Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC 'Split Type':

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;


Changed on 5/14/2017

VAERS ID: 102708 Before After
VAERS Form:
Age:40.0
Sex:Female
Location:Colorado
Vaccinated:1996-10-01
Onset:1996-11-02
Submitted:1997-09-24
Entered:1997-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 9 A - / - A

Administered by: Private      Purchased by: Private
Symptoms: Arthritis, Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC 'Split Type':

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;


Changed on 9/14/2017

VAERS ID: 102708 Before After
VAERS Form:(blank) 1
Age:40.0
Sex:Female
Location:Colorado
Vaccinated:1996-10-01
Onset:1996-11-02
Submitted:1997-09-24
Entered:1997-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 9 7+ - / A

Administered by: Private      Purchased by: Private
Symptoms: Arthritis, Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC 'Split Type':

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;


Changed on 2/14/2018

VAERS ID: 102708 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Colorado
Vaccinated:1996-10-01
Onset:1996-11-02
Submitted:1997-09-24
Entered:1997-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ - / A

Administered by: Private      Purchased by: Private
Symptoms: Arthritis, Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC 'Split Type':

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;


Changed on 6/14/2018

VAERS ID: 102708 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Colorado
Vaccinated:1996-10-01
Onset:1996-11-02
Submitted:1997-09-24
Entered:1997-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ - / A

Administered by: Private      Purchased by: Private
Symptoms: Arthritis, Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC 'Split Type':

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;


Changed on 8/14/2018

VAERS ID: 102708 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Colorado
Vaccinated:1996-10-01
Onset:1996-11-02
Submitted:1997-09-24
Entered:1997-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ - / A

Administered by: Private      Purchased by: Private
Symptoms: Arthritis, Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC 'Split Type':

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;


Changed on 9/14/2018

VAERS ID: 102708 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Colorado
Vaccinated:1996-10-01
Onset:1996-11-02
Submitted:1997-09-24
Entered:1997-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ - / A

Administered by: Private      Purchased by: Private
Symptoms: Arthritis, Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC 'Split Type':

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;


Changed on 10/14/2018

VAERS ID: 102708 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Colorado
Vaccinated:1996-10-01
Onset:1996-11-02
Submitted:1997-09-24
Entered:1997-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ - / A

Administered by: Private      Purchased by: Private
Symptoms: Arthritis, Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: LP, MRI, Biopsy
CDC 'Split Type':

Write-up: demyelinating peripheral neuropathy-both hands, both feet-misdiagnosed prev as arthritis;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=102708&WAYBACKHISTORY=ON


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