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This is VAERS ID 196026

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 196026
VAERS Form:
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) / AVENTIS PASTEUR, U0910AA / - - / LA
PPV: PNEUMO, 23-VALENT (PNEUMOVAX) / MERCK & CO. INC. 0735M / 0 - / RA

Administered by: Private      Purchased by: Unknown
Symptoms: MYALGIA, PARESTHESIA

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ac"he and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 12/8/2009

VAERS ID: 196026 Before After
VAERS Form:
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR, AVENTIS PASTEUR U0910AA / - - LA / LA -
PPV: PNEUMO, 23-VALENT (PNEUMOVAX) PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 0 - RA / RA -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Pain, Paraesthesia, MYALGIA, PARESTHESIA

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ac"he ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 7/7/2013

VAERS ID: 196026 Before After
VAERS Form:
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0910AA / - LA / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U0910AA / - LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 0 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Pain, Paraesthesia

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 2/14/2017

VAERS ID: 196026 Before After
VAERS Form:
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR SANOFI PASTEUR U0910AA / - LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 0 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Pain, Paraesthesia

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 9/14/2017

VAERS ID: 196026 Before After
VAERS Form:(blank) 1
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0910AA / - UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 0 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Pain, Paraesthesia

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 2/14/2018

VAERS ID: 196026 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0910AA / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Pain, Paraesthesia

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 6/14/2018

VAERS ID: 196026 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0910AA / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Pain, Paraesthesia

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 8/14/2018

VAERS ID: 196026 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0910AA / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Pain, Paraesthesia

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 9/14/2018

VAERS ID: 196026 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0910AA / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Pain, Paraesthesia

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 10/14/2018

VAERS ID: 196026 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0910AA / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Pain, Paraesthesia

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 12/24/2020

VAERS ID: 196026 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0910AA / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Pain, Paraesthesia

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 12/30/2020

VAERS ID: 196026 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0910AA / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Pain, Paraesthesia

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 5/7/2021

VAERS ID: 196026 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0910AA / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Pain, Paraesthesia

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.


Changed on 5/21/2021

VAERS ID: 196026 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Tennessee
Vaccinated:2002-10-25
Onset:2002-10-25
Submitted:2003-01-02
Entered:2003-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0910AA / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0735M / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Pain, Paraesthesia

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: Nexium; Xanax; Aspirin Free/ Excedrin
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG, Neuropahty Paripheral
CDC 'Split Type':

Write-up: 10/25/02 Date of vaccine: loss of feeling in right arm all the way to right hand; loss of feeling in left hand 2 days later; Increased anxieties. (No treatment by that physician.) Ongoing loss of feeling. The follow up states "my right arm continues to ache and have loss of feeling as well as my left hand and the back of my right leg and the balls of my feet are sensitive and ach. This is not getting any better 1/22/03.

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