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This is VAERS ID 107149

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 107149
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1995-1996 PASTEUR MERIEUX CONNAUGHT / CONNAUGHT LABS 5F61114 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: HYPOTONIA, PARAPLEGIA

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;


Changed on 12/8/2009

VAERS ID: 107149 Before After
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-05 1998-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1995-1996 PASTEUR MERIEUX CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 95-96) / CONNAUGHT LABS CONNAUGHT LABORATORIES 5F61114 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotonia, Paraplegia, HYPOTONIA, PARAPLEGIA

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) CO7832

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;


Changed on 8/31/2010

VAERS ID: 107149 Before After
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 95-96) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61114 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotonia, Paraplegia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO7832

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;


Changed on 7/7/2013

VAERS ID: 107149 Before After
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61114 / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61114 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotonia, Paraplegia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO7832

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;


Changed on 5/14/2017

VAERS ID: 107149 Before After
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61114 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotonia, Paraplegia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO7832

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;


Changed on 9/14/2017

VAERS ID: 107149 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61114 / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotonia, Paraplegia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO7832

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;


Changed on 2/14/2018

VAERS ID: 107149 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61114 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotonia, Paraplegia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO7832

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;


Changed on 6/14/2018

VAERS ID: 107149 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61114 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotonia, Paraplegia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO7832

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;


Changed on 8/14/2018

VAERS ID: 107149 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61114 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotonia, Paraplegia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO7832

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;


Changed on 9/14/2018

VAERS ID: 107149 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61114 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotonia, Paraplegia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO7832

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;


Changed on 10/14/2018

VAERS ID: 107149 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61114 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotonia, Paraplegia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO7832

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;


Changed on 12/24/2020

VAERS ID: 107149 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61114 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotonia, Paraplegia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO7832

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;


Changed on 12/30/2020

VAERS ID: 107149 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-01-30
Entered:1998-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61114 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotonia, Paraplegia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO7832

Write-up: pt recv vax & 3 days /vax pt paralyzed both lower extremities;loss of sphincter tone;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=107149&WAYBACKHISTORY=ON


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