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This is VAERS ID 185824

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 185824
VAERS Form:
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUVIRIN) / EVANS VACCINES - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: NEUROPATHY, SCLEROSIS MULT

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/199"6. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed t


Changed on 12/8/2009

VAERS ID: 185824 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUVIRIN) INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom, NEUROPATHY, SCLEROSIS MULT

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/199"6. 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed t the relationship of study medication to the events as unknown.


Changed on 7/7/2013

VAERS ID: 185824 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed the relationship of study medication to the events as unknown.


Changed on 9/14/2017

VAERS ID: 185824 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed the relationship of study medication to the events as unknown.


Changed on 2/14/2018

VAERS ID: 185824 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed the relationship of study medication to the events as unknown.


Changed on 6/14/2018

VAERS ID: 185824 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed the relationship of study medication to the events as unknown.


Changed on 8/14/2018

VAERS ID: 185824 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed the relationship of study medication to the events as unknown.


Changed on 9/14/2018

VAERS ID: 185824 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed the relationship of study medication to the events as unknown.


Changed on 10/14/2018

VAERS ID: 185824 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed the relationship of study medication to the events as unknown.


Changed on 12/24/2020

VAERS ID: 185824 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed the relationship of study medication to the events as unknown.


Changed on 12/30/2020

VAERS ID: 185824 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed the relationship of study medication to the events as unknown.


Changed on 5/7/2021

VAERS ID: 185824 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed the relationship of study medication to the events as unknown.


Changed on 5/21/2021

VAERS ID: 185824 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:1996-10-21
Onset:1996-10-21
Submitted:0000-00-00
Entered:2002-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Multiple sclerosis, Neurological symptom

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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PJP200100314

Write-up: A report was received from a health professional on 10/11/2001, concerning a pt of unknown demography who developed multiple sclerosis and neurological symptoms which were disabling/incapacitating, shortly after receiving the Fluvirin vaccine on 10/21/1996. On 10/21/1996, the pt developed multiple sclerosis and neurological symptoms, shortly after receiving the Fluvirin vaccine. The pt has not received any flu vaccinations since 1996. The pt had not recovered at time of report. The reporter has assessed the relationship of study medication to the events as unknown.

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