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This is VAERS ID 25023

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25023
VAERS Form:
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1989-10-23
Onset:1989-12-07
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: receiving gold therapy for rhematiod arthritis
Current Illness: URI
Preexisting Conditions: rhematoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89


Changed on 12/8/2009

VAERS ID: 25023 Before After
VAERS Form:
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1989-10-23
Onset:1989-12-07
Submitted:0000-00-00
Entered:1990-07-10 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 INFLUENZA (SEASONAL) (FLUZONE 89-90) / CONNAUGHT LABS CONNAUGHT LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, GUILLAIN BARRE SYND

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: receiving gold therapy for rhematiod arthritis
Current Illness: URI
Preexisting Conditions: rhematoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89


Changed on 8/31/2010

VAERS ID: 25023 Before After
VAERS Form:
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1989-10-23
Onset:1989-12-07
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 89-90) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: receiving gold therapy for rhematiod arthritis
Current Illness: URI
Preexisting Conditions: rhematoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89


Changed on 7/7/2013

VAERS ID: 25023 Before After
VAERS Form:
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1989-10-23
Onset:1989-12-07
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: receiving gold therapy for rhematiod arthritis
Current Illness: URI
Preexisting Conditions: rhematoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89


Changed on 5/14/2017

VAERS ID: 25023 Before After
VAERS Form:
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1989-10-23
Onset:1989-12-07
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: receiving gold therapy for rhematiod arthritis
Current Illness: URI
Preexisting Conditions: rhematoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89


Changed on 9/14/2017

VAERS ID: 25023 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1989-10-23
Onset:1989-12-07
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: receiving gold therapy for rhematiod arthritis
Current Illness: URI
Preexisting Conditions: rhematoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89


Changed on 2/14/2018

VAERS ID: 25023 Before After
VAERS Form:1
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1989-10-23
Onset:1989-12-07
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: receiving gold therapy for rhematiod arthritis
Current Illness: URI
Preexisting Conditions: rhematoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89


Changed on 6/14/2018

VAERS ID: 25023 Before After
VAERS Form:1
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1989-10-23
Onset:1989-12-07
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: receiving gold therapy for rhematiod arthritis
Current Illness: URI
Preexisting Conditions: rhematoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89


Changed on 8/14/2018

VAERS ID: 25023 Before After
VAERS Form:1
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1989-10-23
Onset:1989-12-07
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: receiving gold therapy for rhematiod arthritis
Current Illness: URI
Preexisting Conditions: rhematoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89


Changed on 9/14/2018

VAERS ID: 25023 Before After
VAERS Form:1
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1989-10-23
Onset:1989-12-07
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: receiving gold therapy for rhematiod arthritis
Current Illness: URI
Preexisting Conditions: rhematoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89


Changed on 10/14/2018

VAERS ID: 25023 Before After
VAERS Form:1
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1989-10-23
Onset:1989-12-07
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: receiving gold therapy for rhematiod arthritis
Current Illness: URI
Preexisting Conditions: rhematoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89

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