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This is VAERS ID 107916

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

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;


Changed on 12/8/2009

VAERS ID: 107916 Before After
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 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;


Changed on 8/31/2010

VAERS ID: 107916 Before After
VAERS Form:
Age:50.6
Sex:Male
Location:Unknown
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;


Changed on 7/7/2013

VAERS ID: 107916 Before After
VAERS Form:
Age:50.6
Sex:Male
Location:Unknown
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;


Changed on 2/14/2017

VAERS ID: 107916 Before After
VAERS Form:
Age:50.6 50.0
Sex:Male
Location:Unknown
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;


Changed on 5/14/2017

VAERS ID: 107916 Before After
VAERS Form:
Age:50.0
Sex:Male
Location:Unknown
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;


Changed on 9/14/2017

VAERS ID: 107916 Before After
VAERS Form:(blank) 1
Age:50.0
Sex:Male
Location:Unknown
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;


Changed on 2/14/2018

VAERS ID: 107916 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Unknown
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;


Changed on 6/14/2018

VAERS ID: 107916 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Unknown
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;


Changed on 8/14/2018

VAERS ID: 107916 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Unknown
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;


Changed on 9/14/2018

VAERS ID: 107916 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Unknown
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;


Changed on 10/14/2018

VAERS ID: 107916 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Unknown
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;


Changed on 12/10/2020

VAERS ID: 107916 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Unknown Montana
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;


Changed on 12/24/2020

VAERS ID: 107916 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Montana
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;


Changed on 12/30/2020

VAERS ID: 107916 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Montana
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;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=107916&WAYBACKHISTORY=ON


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