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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 107835 |
VAERS Form: | |
Age: | 65.2 |
Sex: | Male |
Location: | Ohio |
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUVIRIN 1997-1998 / MEDEVA PHARMS LI | E3367HB / - | - / IM |
Administered by: Other Purchased by: Unknown
Symptoms: HYPOKINESIA, HYPERTONIA, MYALGIA, MYASTHENIA, NEURITIS
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUVIRIN 1997-1998 INFLUENZA (SEASONAL) (FLUVIRIN 97-98) / MEDEVA PHARMS LI MEDEVA PHARMA, LTD. | E3367HB / - | - / IM |
Administered by: Other Purchased by: Unknown Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain, HYPOKINESIA, HYPERTONIA, MYALGIA, MYASTHENIA, NEURITIS
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUVIRIN 97-98) INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / - | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / - | - / IM |
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / - | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / - | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / - | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / - UNK | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / UNK | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / UNK | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / UNK | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / UNK | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / UNK | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / UNK | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
Vaccinated: | 1997-09-01 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-25 |
Entered: | 1998-02-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. | E3367HB / UNK | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain
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: Fiorinal/Butalbital, USP;
Current Illness:
Preexisting Conditions: Carpal Tunnel synd;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MPI98158
Write-up: pt recv vax & devel muscle soreness & stiffness 1mo post vax;
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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=107835&WAYBACKHISTORY=ON
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