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This is VAERS ID 26059

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26059
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:1989-10-31
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS - / - LA / -
PPV: PNEUMOVAX 23 / MSD - / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: MYASTHENIA

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

Write-up: Pt vaccinated with Pneumovax 23/Influenza lt arm became weak due to brachial plexitis involving C-5.


Changed on 12/8/2009

VAERS ID: 26059 Before After
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:1989-10-31
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-12-10 1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 INFLUENZA (SEASONAL) (FLUZONE 89-90) / CONNAUGHT LABS CONNAUGHT LABORATORIES - / - LA / -
PPV: PNEUMOVAX 23 PNEUMO (PNEUMOVAX) / MSD MERCK & CO. INC. - / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myasthenic syndrome, MYASTHENIA

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES89120574

Write-up: Pt vaccinated with Pneumovax 23/Influenza lt arm became weak due to brachial plexitis involving C-5.


Changed on 8/31/2010

VAERS ID: 26059 Before After
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:1989-10-31
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 89-90) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myasthenic 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES89120574

Write-up: Pt vaccinated with Pneumovax 23/Influenza lt arm became weak due to brachial plexitis involving C-5.


Changed on 7/7/2013

VAERS ID: 26059 Before After
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:1989-10-31
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - LA / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myasthenic 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES89120574

Write-up: Pt vaccinated with Pneumovax 23/Influenza lt arm became weak due to brachial plexitis involving C-5.


Changed on 5/14/2017

VAERS ID: 26059 Before After
VAERS Form:
Age:
Sex:Male
Location:California
Vaccinated:1989-10-31
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myasthenic 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES89120574

Write-up: Pt vaccinated with Pneumovax 23/Influenza lt arm became weak due to brachial plexitis involving C-5.


Changed on 9/14/2017

VAERS ID: 26059 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:California
Vaccinated:1989-10-31
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myasthenic 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES89120574

Write-up: Pt vaccinated with Pneumovax 23/Influenza lt arm became weak due to brachial plexitis involving C-5.


Changed on 2/14/2018

VAERS ID: 26059 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:1989-10-31
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myasthenic 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES89120574

Write-up: Pt vaccinated with Pneumovax 23/Influenza lt arm became weak due to brachial plexitis involving C-5.


Changed on 6/14/2018

VAERS ID: 26059 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:1989-10-31
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myasthenic 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES89120574

Write-up: Pt vaccinated with Pneumovax 23/Influenza lt arm became weak due to brachial plexitis involving C-5.


Changed on 8/14/2018

VAERS ID: 26059 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:1989-10-31
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myasthenic 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES89120574

Write-up: Pt vaccinated with Pneumovax 23/Influenza lt arm became weak due to brachial plexitis involving C-5.


Changed on 9/14/2018

VAERS ID: 26059 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:1989-10-31
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myasthenic 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES89120574

Write-up: Pt vaccinated with Pneumovax 23/Influenza lt arm became weak due to brachial plexitis involving C-5.


Changed on 10/14/2018

VAERS ID: 26059 Before After
VAERS Form:1
Age:
Sex:Male
Location:California
Vaccinated:1989-10-31
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK LA / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myasthenic 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES89120574

Write-up: Pt vaccinated with Pneumovax 23/Influenza lt arm became weak due to brachial plexitis involving C-5.

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