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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 107916 |
VAERS Form: | |
Age: | 50.6 |
Sex: | Male |
Location: | Unknown |
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUSHIELD 1997-1998 / WYETH | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: ARTHRALGIA, NEUROPATHY
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-05 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUSHIELD 1997-1998 INFLUENZA (SEASONAL) (FLUSHIELD 97-98) / WYETH WYETH PHARMACEUTICALS, INC | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy, ARTHRALGIA, NEUROPATHY
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 97-98) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / - | - / - |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / - UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Vaccinated: | 0000-00-00 |
Onset: | 1997-10-01 |
Submitted: | 1998-02-13 |
Entered: | 1998-03-04 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Neuropathy
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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, blood tests
CDC 'Split Type':
Write-up: neuropathy, arthralgias p/vax;
Link To This Search Result:
https://medalerts.org/vaersdb/findfield.php?IDNUMBER=107916&WAYBACKHISTORY=ON
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