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This is VAERS ID 111835

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 111835
VAERS Form:
Age:24.4
Gender:Male
Location:Unknown
Vaccinated:1998-05-17
Onset:1998-05-18
Submitted:1998-05-29
Entered:1998-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX ADSORBED / MICHIGAN DPH FAV020 / 2 A / SC

Administered by: Other      Purchased by: Unknown
Symptoms: HYPOKINESIA, GUILLAIN BARRE SYND, GAIT ABNORM, LAB TEST ABNORM, MYASTHENIA

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE (OTC creatinine & protein drinks)
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, x-rays negative, spinal tap negative;
CDC 'Split Type':

Write-up: pt recv vax & noted weakness of feet-over next 24hr worsens to include knees & hands;pt adm to hosp EMG showed conduction abn of legs & hands;dx GBS;pt able to walk small distances & fine motor of hands improving;


Changed on 12/8/2009

VAERS ID: 111835 Before After
VAERS Form:
Age:24.4
Gender:Male
Location:Unknown
Vaccinated:1998-05-17
Onset:1998-05-18
Submitted:1998-05-29
Entered:1998-06-16 1998-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX ADSORBED ANTHRAX (NO BRAND NAME) / MICHIGAN DPH MICHIGAN DEPT PUB HLTH FAV020 / 2 A / SC

Administered by: Other      Purchased by: Unknown Military
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypokinesia, Hyporeflexia, Laboratory test abnormal, Myasthenic syndrome, Myopathy, Neuropathy, HYPOKINESIA, GUILLAIN BARRE SYND, GAIT ABNORM, LAB TEST ABNORM, MYASTHENIA

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE (OTC creatinine & protein drinks)
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, x-rays negative, spinal tap negative;
CDC 'Split Type':

Write-up: pt recv vax & noted weakness of feet-over next 24hr worsens to include knees & hands;pt adm to hosp EMG showed conduction abn of legs & hands;dx GBS;pt able to walk small distances & fine motor of hands improving;


Changed on 2/5/2010

VAERS ID: 111835 Before After
VAERS Form:
Age:24.4 24.0
Gender:Male
Location:Unknown
Vaccinated:1998-05-17
Onset:1998-05-18
Submitted:1998-05-29
Entered:1998-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV020 / 2 A - / SC

Administered by: Other Unknown      Purchased by: Military
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypokinesia, Hyporeflexia, Laboratory test abnormal, Myasthenic syndrome, Myopathy, Neuropathy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations: ~ ()~ ~~In patient
Other Medications: NONE (OTC creatinine & protein drinks)
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, x-rays negative, spinal tap negative;
CDC 'Split Type':

Write-up: pt recv vax & noted weakness of feet-over next 24hr worsens to include knees & hands;pt adm to hosp EMG showed conduction abn of legs & hands;dx GBS;pt able to walk small distances & fine motor of hands improving;


Changed on 7/31/2010

VAERS ID: 111835 Before After
VAERS Form:
Age:24.0
Gender:Male
Location:Unknown
Vaccinated:1998-05-17
Onset:1998-05-18
Submitted:1998-05-29
Entered:1998-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV020 / 2 - / SC -

Administered by: Unknown      Purchased by: Military
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypokinesia, Hyporeflexia, Laboratory test abnormal, Myasthenic syndrome, Myopathy, Neuropathy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations: ~ ()~ ~~In patient
Other Medications: NONE (OTC creatinine & protein drinks)
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, x-rays negative, spinal tap negative;
CDC 'Split Type':

Write-up: pt recv vax & noted weakness of feet-over next 24hr worsens to include knees & hands;pt adm to hosp EMG showed conduction abn of legs & hands;dx GBS;pt able to walk small distances & fine motor of hands improving;


Changed on 6/14/2014

VAERS ID: 111835 Before After
VAERS Form:
Age:24.0
Gender:Male
Location:Unknown
Vaccinated:1998-05-17
Onset:1998-05-18
Submitted:1998-05-29
Entered:1998-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV020 / 2 - / -

Administered by: Unknown      Purchased by: Military
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypokinesia, Hyporeflexia, Laboratory test abnormal, Myasthenic syndrome, Myopathy, Neuropathy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE (OTC creatinine & protein drinks)
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, x-rays negative, spinal tap negative;
CDC 'Split Type':

Write-up: pt recv vax & noted weakness of feet-over next 24hr worsens to include knees & hands;pt adm to hosp EMG showed conduction abn of legs & hands;dx GBS;pt able to walk small distances & fine motor of hands improving;


Changed on 5/14/2017

VAERS ID: 111835 Before After
VAERS Form:
Age:24.0
Gender:Male
Location:Unknown
Vaccinated:1998-05-17
Onset:1998-05-18
Submitted:1998-05-29
Entered:1998-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV020 / 2 - / -

Administered by: Unknown      Purchased by: Military
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypokinesia, Hyporeflexia, Laboratory test abnormal, Myasthenic syndrome, Myopathy, Neuropathy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE (OTC creatinine & protein drinks)
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, x-rays negative, spinal tap negative;
CDC 'Split Type':

Write-up: pt recv vax & noted weakness of feet-over next 24hr worsens to include knees & hands;pt adm to hosp EMG showed conduction abn of legs & hands;dx GBS;pt able to walk small distances & fine motor of hands improving;


Changed on 9/14/2017

VAERS ID: 111835 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Male
Location:Unknown
Vaccinated:1998-05-17
Onset:1998-05-18
Submitted:1998-05-29
Entered:1998-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV020 / 2 3 - / -

Administered by: Unknown      Purchased by: Military
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypokinesia, Hyporeflexia, Laboratory test abnormal, Myasthenic syndrome, Myopathy, Neuropathy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE (OTC creatinine & protein drinks)
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, x-rays negative, spinal tap negative;
CDC 'Split Type':

Write-up: pt recv vax & noted weakness of feet-over next 24hr worsens to include knees & hands;pt adm to hosp EMG showed conduction abn of legs & hands;dx GBS;pt able to walk small distances & fine motor of hands improving;


Changed on 2/14/2018

VAERS ID: 111835 Before After
VAERS Form:1
Age:24.0
Gender:Male
Location:Unknown
Vaccinated:1998-05-17
Onset:1998-05-18
Submitted:1998-05-29
Entered:1998-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV020 / 3 - / -

Administered by: Unknown      Purchased by: Military
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypokinesia, Hyporeflexia, Laboratory test abnormal, Myasthenic syndrome, Myopathy, Neuropathy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE (OTC creatinine & protein drinks)
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, x-rays negative, spinal tap negative;
CDC 'Split Type':

Write-up: pt recv vax & noted weakness of feet-over next 24hr worsens to include knees & hands;pt adm to hosp EMG showed conduction abn of legs & hands;dx GBS;pt able to walk small distances & fine motor of hands improving;


Changed on 6/14/2018

VAERS ID: 111835 Before After
VAERS Form:1
Age:24.0
Gender:Male
Location:Unknown
Vaccinated:1998-05-17
Onset:1998-05-18
Submitted:1998-05-29
Entered:1998-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV020 / 3 - / -

Administered by: Unknown      Purchased by: Military
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypokinesia, Hyporeflexia, Laboratory test abnormal, Myasthenic syndrome, Myopathy, Neuropathy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE (OTC creatinine & protein drinks)
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, x-rays negative, spinal tap negative;
CDC 'Split Type':

Write-up: pt recv vax & noted weakness of feet-over next 24hr worsens to include knees & hands;pt adm to hosp EMG showed conduction abn of legs & hands;dx GBS;pt able to walk small distances & fine motor of hands improving;


Changed on 8/14/2018

VAERS ID: 111835 Before After
VAERS Form:1
Age:24.0
Gender:Male
Location:Unknown
Vaccinated:1998-05-17
Onset:1998-05-18
Submitted:1998-05-29
Entered:1998-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV020 / 3 - / -

Administered by: Unknown      Purchased by: Military
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypokinesia, Hyporeflexia, Laboratory test abnormal, Myasthenic syndrome, Myopathy, Neuropathy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE (OTC creatinine & protein drinks)
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, x-rays negative, spinal tap negative;
CDC 'Split Type':

Write-up: pt recv vax & noted weakness of feet-over next 24hr worsens to include knees & hands;pt adm to hosp EMG showed conduction abn of legs & hands;dx GBS;pt able to walk small distances & fine motor of hands improving;


Changed on 9/14/2018

VAERS ID: 111835 Before After
VAERS Form:1
Age:24.0
Gender:Male
Location:Unknown
Vaccinated:1998-05-17
Onset:1998-05-18
Submitted:1998-05-29
Entered:1998-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV020 / 3 - / -

Administered by: Unknown      Purchased by: Military
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypokinesia, Hyporeflexia, Laboratory test abnormal, Myasthenic syndrome, Myopathy, Neuropathy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE (OTC creatinine & protein drinks)
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, x-rays negative, spinal tap negative;
CDC 'Split Type':

Write-up: pt recv vax & noted weakness of feet-over next 24hr worsens to include knees & hands;pt adm to hosp EMG showed conduction abn of legs & hands;dx GBS;pt able to walk small distances & fine motor of hands improving;


Changed on 10/14/2018

VAERS ID: 111835 Before After
VAERS Form:1
Age:24.0
Gender:Male
Location:Unknown
Vaccinated:1998-05-17
Onset:1998-05-18
Submitted:1998-05-29
Entered:1998-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV020 / 3 - / -

Administered by: Unknown      Purchased by: Military
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypokinesia, Hyporeflexia, Laboratory test abnormal, Myasthenic syndrome, Myopathy, Neuropathy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE (OTC creatinine & protein drinks)
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, x-rays negative, spinal tap negative;
CDC 'Split Type':

Write-up: pt recv vax & noted weakness of feet-over next 24hr worsens to include knees & hands;pt adm to hosp EMG showed conduction abn of legs & hands;dx GBS;pt able to walk small distances & fine motor of hands improving;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=111835&WAYBACKHISTORY=ON


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