![]() |
National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts Home |
History of Changes from the VAERS Wayback Machine |
VAERS ID: | 134119 |
VAERS Form: | |
Age: | 37.0 |
Sex: | Male |
Location: | Unknown |
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX ADSORBED / MICHIGAN DPH | - / - | - / - |
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED | - / - | - / IM |
Administered by: Military Purchased by: Unknown
Symptoms: AGITATION, TREMOR, INSOMNIA, WEIGHT DEC, HYPERTHYR
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease..
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX ADSORBED ANTHRAX (NO BRAND NAME) / MICHIGAN DPH MICHIGAN DEPT PUB HLTH | - / - | - / - |
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER | - / - | - / IM |
Administered by: Military Purchased by: Unknown Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased, AGITATION, TREMOR, INSOMNIA, WEIGHT DEC, HYPERTHYR
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease..
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH | - / - | - / - |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - | - / IM |
Administered by: Military Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No 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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease.. Disease.
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH | - / - | - / - |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - | - / IM |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - | - / IM |
Administered by: Military Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease.
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH | - / - | - / - |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - | - / IM |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - | - / IM |
Administered by: Military Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease.
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH | - / - UNK | - / - |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - UNK | - / IM |
Administered by: Military Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease.
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH | - / UNK | - / - |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
Administered by: Military Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease.
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH | - / UNK | - / - |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
Administered by: Military Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease.
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH | - / UNK | - / - |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
Administered by: Military Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease.
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH | - / UNK | - / - |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
Administered by: Military Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease.
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH | - / UNK | - / - |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
Administered by: Military Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease.
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH | - / UNK | - / - |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
Administered by: Military Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease.
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH | - / UNK | - / - |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
Administered by: Military Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease.
Vaccinated: | 1998-11-16 |
Onset: | 1998-11-16 |
Submitted: | 2000-02-07 |
Entered: | 2000-02-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH | - / UNK | - / - |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
Administered by: Military Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease.
Link To This Search Result:
https://medalerts.org/vaersdb/findfield.php?IDNUMBER=134119&WAYBACKHISTORY=ON
Copyright ©
2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166