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This is VAERS ID 25584

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25584
VAERS Form:
Age:31.0
Sex:Female
Location:Florida
Vaccinated:1990-01-26
Onset:1990-02-20
Submitted:0000-00-00
Entered:1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B / WYETH 4898139 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: DIZZINESS, BRADYCARDIA, GUILLAIN BARRE SYND, FLU SYND, ASTHENIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC 'Split Type':

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


Changed on 12/8/2009

VAERS ID: 25584 Before After
VAERS Form:
Age:31.0
Sex:Female
Location:Florida
Vaccinated:1990-01-26
Onset:1990-02-20
Submitted:0000-00-00
Entered:1990-07-26 1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B INFLUENZA (SEASONAL) (NO BRAND NAME, 89-90) / WYETH WYETH PHARMACEUTICALS, INC 4898139 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Bradycardia, Dizziness, Guillain-Barre syndrome, Hyperhidrosis, Influenza, Neuropathy, Tachycardia, DIZZINESS, BRADYCARDIA, GUILLAIN BARRE SYND, FLU SYND, ASTHENIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC 'Split Type': (blank) 894076003A

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


Changed on 8/31/2010

VAERS ID: 25584 Before After
VAERS Form:
Age:31.0
Sex:Female
Location:Florida
Vaccinated:1990-01-26
Onset:1990-02-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 89-90) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4898139 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Bradycardia, Dizziness, Guillain-Barre syndrome, Hyperhidrosis, Influenza, Neuropathy, Tachycardia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC 'Split Type': 894076003A

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


Changed on 7/7/2013

VAERS ID: 25584 Before After
VAERS Form:
Age:31.0
Sex:Female
Location:Florida
Vaccinated:1990-01-26
Onset:1990-02-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898139 / - - / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898139 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Bradycardia, Dizziness, Guillain-Barre syndrome, Hyperhidrosis, Influenza, Neuropathy, Tachycardia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC 'Split Type': 894076003A

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


Changed on 12/14/2016

VAERS ID: 25584 Before After
VAERS Form:
Age:31.0
Sex:Female
Location:Florida
Vaccinated:1990-01-26
Onset:1990-02-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898139 / - - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898139 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Bradycardia, Dizziness, Guillain-Barre syndrome, Hyperhidrosis, Influenza, Neuropathy, Tachycardia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC 'Split Type': 894076003A

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


Changed on 5/14/2017

VAERS ID: 25584 Before After
VAERS Form:
Age:31.0
Sex:Female
Location:Florida
Vaccinated:1990-01-26
Onset:1990-02-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898139 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Bradycardia, Dizziness, Guillain-Barre syndrome, Hyperhidrosis, Influenza, Neuropathy, Tachycardia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC 'Split Type': 894076003A

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


Changed on 9/14/2017

VAERS ID: 25584 Before After
VAERS Form:(blank) 1
Age:31.0
Sex:Female
Location:Florida
Vaccinated:1990-01-26
Onset:1990-02-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898139 / - UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Bradycardia, Dizziness, Guillain-Barre syndrome, Hyperhidrosis, Influenza, Neuropathy, Tachycardia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC 'Split Type': 894076003A

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


Changed on 2/14/2018

VAERS ID: 25584 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Florida
Vaccinated:1990-01-26
Onset:1990-02-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898139 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Bradycardia, Dizziness, Guillain-Barre syndrome, Hyperhidrosis, Influenza, Neuropathy, Tachycardia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC 'Split Type': 894076003A

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


Changed on 6/14/2018

VAERS ID: 25584 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Florida
Vaccinated:1990-01-26
Onset:1990-02-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898139 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Bradycardia, Dizziness, Guillain-Barre syndrome, Hyperhidrosis, Influenza, Neuropathy, Tachycardia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC 'Split Type': 894076003A

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


Changed on 8/14/2018

VAERS ID: 25584 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Florida
Vaccinated:1990-01-26
Onset:1990-02-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898139 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Bradycardia, Dizziness, Guillain-Barre syndrome, Hyperhidrosis, Influenza, Neuropathy, Tachycardia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC 'Split Type': 894076003A

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


Changed on 9/14/2018

VAERS ID: 25584 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Florida
Vaccinated:1990-01-26
Onset:1990-02-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898139 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Bradycardia, Dizziness, Guillain-Barre syndrome, Hyperhidrosis, Influenza, Neuropathy, Tachycardia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC 'Split Type': 894076003A

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.


Changed on 10/14/2018

VAERS ID: 25584 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Florida
Vaccinated:1990-01-26
Onset:1990-02-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898139 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Bradycardia, Dizziness, Guillain-Barre syndrome, Hyperhidrosis, Influenza, Neuropathy, Tachycardia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darachlor 4 tabs;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: nerve conduction studies consistant w/Guillian- Barre synd.
CDC 'Split Type': 894076003A

Write-up: Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.

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