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This is VAERS ID 108979

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 108979
VAERS Form:
Age:63.6
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1997-1998 / CONNAUGHT LABS 7F81735 / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: PAIN, PARESTHESIA

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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 12/8/2009

VAERS ID: 108979 Before After
VAERS Form:
Age:63.6
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-04-01 1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1997-1998 INFLUENZA (SEASONAL) (FLUZONE 97-98) / CONNAUGHT LABS CONNAUGHT LABORATORIES 7F81735 / - LA / IM

Administered by: Unknown      Purchased by: Unknown Private
Symptoms: Pain, Paraesthesia, PAIN, PARESTHESIA

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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 8/31/2010

VAERS ID: 108979 Before After
VAERS Form:
Age:63.6
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 97-98) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / - LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 7/7/2013

VAERS ID: 108979 Before After
VAERS Form:
Age:63.6
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / - LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / - LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 2/14/2017

VAERS ID: 108979 Before After
VAERS Form:
Age:63.6 63.0
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / - LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 5/14/2017

VAERS ID: 108979 Before After
VAERS Form:
Age:63.0
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / - LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 9/14/2017

VAERS ID: 108979 Before After
VAERS Form:(blank) 1
Age:63.0
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / - UNK LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 2/14/2018

VAERS ID: 108979 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / UNK LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 6/14/2018

VAERS ID: 108979 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / UNK LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 8/14/2018

VAERS ID: 108979 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / UNK LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 9/14/2018

VAERS ID: 108979 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / UNK LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 10/14/2018

VAERS ID: 108979 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / UNK LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 12/24/2020

VAERS ID: 108979 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / UNK LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

Changed on 12/30/2020

VAERS ID: 108979 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Texas
Vaccinated:1997-10-24
Onset:1997-10-27
Submitted:1998-02-23
Entered:1998-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / UNK LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98031

Write-up: cont severe pain in lt arm, lt shoulder, lt shoulder blade & numb forefinger lt hand;had numerous prescription drugs;none touched the pain;had 8 physical therapy sessions;pt given meds;pt states finger is still numb still taking med;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=108979&WAYBACKHISTORY=ON


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