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This is VAERS ID 102776

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 102776
VAERS Form:
Age:68.5
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 / WYETH - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: NEUROPATHY, TASTE LOSS, PAROSMIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type':

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


Changed on 12/8/2009

VAERS ID: 102776 Before After
VAERS Form:
Age:68.5
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-30 1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 INFLUENZA (SEASONAL) (NO BRAND NAME, 93-94) / WYETH WYETH PHARMACEUTICALS, INC - / - - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Ageusia, Neuropathy, Parosmia, NEUROPATHY, TASTE LOSS, PAROSMIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type': (blank) 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


Changed on 8/31/2010

VAERS ID: 102776 Before After
VAERS Form:
Age:68.5
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 93-94) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - - / IM

Administered by: Private      Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type': 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


Changed on 7/7/2013

VAERS ID: 102776 Before After
VAERS Form:
Age:68.5
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Private      Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type': 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


Changed on 12/14/2016

VAERS ID: 102776 Before After
VAERS Form:
Age:68.5
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Private      Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type': 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


Changed on 2/14/2017

VAERS ID: 102776 Before After
VAERS Form:
Age:68.5 68.0
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Private      Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type': 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


Changed on 5/14/2017

VAERS ID: 102776 Before After
VAERS Form:
Age:68.0
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Private      Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type': 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


Changed on 9/14/2017

VAERS ID: 102776 Before After
VAERS Form:(blank) 1
Age:68.0
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - UNK - / IM

Administered by: Private      Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type': 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


Changed on 2/14/2018

VAERS ID: 102776 Before After
VAERS Form:1
Age:68.0
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type': 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


Changed on 6/14/2018

VAERS ID: 102776 Before After
VAERS Form:1
Age:68.0
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type': 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


Changed on 8/14/2018

VAERS ID: 102776 Before After
VAERS Form:1
Age:68.0
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type': 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


Changed on 9/14/2018

VAERS ID: 102776 Before After
VAERS Form:1
Age:68.0
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type': 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;


Changed on 10/14/2018

VAERS ID: 102776 Before After
VAERS Form:1
Age:68.0
Sex:Female
Location:Colorado
Vaccinated:1993-10-01
Onset:1994-02-01
Submitted:1997-09-09
Entered:1997-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Other
Symptoms: Ageusia, Neuropathy, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Allergies:
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC 'Split Type': 897255006L

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=102776&WAYBACKHISTORY=ON


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