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This is VAERS ID 134119

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

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..

Changed on 12/8/2009

VAERS ID: 134119 Before After
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 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..

Changed on 10/11/2011

VAERS ID: 134119 Before After
VAERS Form:
Age:37.0 36.0
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 (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.

Changed on 7/7/2013

VAERS ID: 134119 Before After
VAERS Form:
Age:36.0
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 (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.

Changed on 12/14/2016

VAERS ID: 134119 Before After
VAERS Form:
Age:36.0
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 (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.

Changed on 9/14/2017

VAERS ID: 134119 Before After
VAERS Form:(blank) 1
Age:36.0
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 (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.

Changed on 2/14/2018

VAERS ID: 134119 Before After
VAERS Form:1
Age:36.0
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 (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.

Changed on 6/14/2018

VAERS ID: 134119 Before After
VAERS Form:1
Age:36.0
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 (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.

Changed on 8/14/2018

VAERS ID: 134119 Before After
VAERS Form:1
Age:36.0
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 (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.

Changed on 9/14/2018

VAERS ID: 134119 Before After
VAERS Form:1
Age:36.0
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 (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.

Changed on 10/14/2018

VAERS ID: 134119 Before After
VAERS Form:1
Age:36.0
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 (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.

Changed on 12/10/2020

VAERS ID: 134119 Before After
VAERS Form:1
Age:36.0
Sex:Male
Location:Unknown Arizona
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.

Changed on 12/24/2020

VAERS ID: 134119 Before After
VAERS Form:1
Age:36.0
Sex:Male
Location:Arizona
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.

Changed on 12/30/2020

VAERS ID: 134119 Before After
VAERS Form:1
Age:36.0
Sex:Male
Location:Arizona
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.

Changed on 5/7/2021

VAERS ID: 134119 Before After
VAERS Form:1
Age:36.0
Sex:Male
Location:Arizona
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.

Changed on 5/14/2021

VAERS ID: 134119 Before After
VAERS Form:1
Age:36.0
Sex:Male
Location:Arizona
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.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=134119&WAYBACKHISTORY=ON

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