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This is VAERS ID 184648

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 184648
VAERS Form:
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) / AVENTIS PASTEUR, U0601AA / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, HEADACHE, ARTHRALGIA, LAB TEST ABNORM, ARTHRITIS RHEUMAT

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 12/8/2009

VAERS ID: 184648 Before After
VAERS Form:
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR, AVENTIS PASTEUR U0601AA / - LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor, FEVER, HEADACHE, ARTHRALGIA, LAB TEST ABNORM, ARTHRITIS RHEUMAT

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 7/7/2013

VAERS ID: 184648 Before After
VAERS Form:
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0601AA / - LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0601AA / - LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 5/14/2017

VAERS ID: 184648 Before After
VAERS Form:
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR SANOFI PASTEUR U0601AA / - LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 9/14/2017

VAERS ID: 184648 Before After
VAERS Form:(blank) 1
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0601AA / - UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 2/14/2018

VAERS ID: 184648 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0601AA / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 6/14/2018

VAERS ID: 184648 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0601AA / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 8/14/2018

VAERS ID: 184648 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0601AA / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 9/14/2018

VAERS ID: 184648 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0601AA / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 10/14/2018

VAERS ID: 184648 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0601AA / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 12/24/2020

VAERS ID: 184648 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0601AA / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 12/30/2020

VAERS ID: 184648 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0601AA / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 5/7/2021

VAERS ID: 184648 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0601AA / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.


Changed on 5/21/2021

VAERS ID: 184648 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:Arizona
Vaccinated:2001-12-01
Onset:2002-01-01
Submitted:2002-05-06
Entered:2002-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0601AA / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia, Rheumatoid arthritis, Rheumatoid factor

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: Prozac, Proton pump inhibitors
Current Illness:
Preexisting Conditions: Dysthymia, GERD, Headaches, Low back pain, Irritable bowel
Allergies:
Diagnostic Lab Data: Rheumatoid factor-positive
CDC 'Split Type':

Write-up: The pt developed fever of 102-103 deg. F, myalgia, and headache. Within a few weeks, hand and joint pain started. The pt was diagnosed with rheumatoid arthritis on 04/02.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=184648&WAYBACKHISTORY=ON


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