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This is VAERS ID 168258

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 168258
VAERS Form:
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE 00-01) /   U0335AB / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: PAIN INJECT SITE, MYELITIS, INCONTIN URIN, INCONTIN FECAL, CACHEXIA

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection.


Changed on 12/8/2009

VAERS ID: 168258 Before After
VAERS Form:
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE 00-01) INFLUENZA (SEASONAL) (FLUZONE 00-01) /   AVENTIS PASTEUR U0335AB / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence, PAIN INJECT SITE, MYELITIS, INCONTIN URIN, INCONTIN FECAL, CACHEXIA

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


Changed on 8/31/2010

VAERS ID: 168258 Before After
VAERS Form:
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 00-01) INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


Changed on 7/7/2013

VAERS ID: 168258 Before After
VAERS Form:
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / - LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


Changed on 9/14/2017

VAERS ID: 168258 Before After
VAERS Form:(blank) 1
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / - UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


Changed on 2/14/2018

VAERS ID: 168258 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


Changed on 6/14/2018

VAERS ID: 168258 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


Changed on 8/14/2018

VAERS ID: 168258 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


Changed on 9/14/2018

VAERS ID: 168258 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


Changed on 10/14/2018

VAERS ID: 168258 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


Changed on 12/24/2020

VAERS ID: 168258 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


Changed on 12/30/2020

VAERS ID: 168258 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


Changed on 5/7/2021

VAERS ID: 168258 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.


Changed on 5/14/2021

VAERS ID: 168258 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2000-11-20
Onset:2000-11-21
Submitted:0000-00-00
Entered:2001-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0335AB / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cachexia, Faecal incontinence, Injection site pain, Myelitis transverse, Paraplegia, Urinary incontinence

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI of T-spine; MRI brain; Wasting from T2 to T4
CDC 'Split Type':

Write-up: Transverse Myelitis; Over a few days, pt developed complete plegia of legs and sensory level at T2 with bladder and bowel incontinence. This has persisted. Pt also has persistent pain at site of injection. Rash. Able to do self care. Stimulation only was walker in house. Wheelchair when goes out. Tired easily. Transverse myelitis.

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