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This is VAERS ID 26637

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26637
VAERS Form:
Age:
Sex:Male
Location:Iowa
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS - / - - / -
PPV: PNU-IMUNE(R)23 / LEDERLE 268982 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: PARALYSIS FACIAL, MYALGIA, PAIN NECK

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:
Current Illness:
Preexisting Conditions: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''s Palsy. Prior to onset of Bell''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.


Changed on 12/30/2006

VAERS ID: 26637 Before After
VAERS Form:
Age:
Sex:Male
Location:Iowa
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS - / - - / -
PPV: PNU-IMUNE(R)23 / LEDERLE 268982 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: PARALYSIS FACIAL, MYALGIA, PAIN NECK

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:
Current Illness:
Preexisting Conditions: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''s Bell''''s Palsy. Prior to onset of Bell''s Bell''''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.


Changed on 12/8/2009

VAERS ID: 26637 Before After
VAERS Form:
Age:
Sex:Male
Location:Iowa
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-15 1990-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS - / - - / -
PPV: PNU-IMUNE(R)23 PNEUMO (PNU-IMUNE) / LEDERLE LEDERLE LABORATORIES 268982 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Myalgia, Neck pain, PARALYSIS FACIAL, MYALGIA, PAIN NECK

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:
Current Illness:
Preexisting Conditions: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 900190501

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''''s Bell''s Palsy. Prior to onset of Bell''''s Bell''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.


Changed on 8/31/2010

VAERS ID: 26637 Before After
VAERS Form:
Age:
Sex:Male
Location:Iowa
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 268982 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Myalgia, Neck pain

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:
Current Illness:
Preexisting Conditions: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900190501

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''s Palsy. Prior to onset of Bell''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.


Changed on 7/7/2013

VAERS ID: 26637 Before After
VAERS Form:
Age:
Sex:Male
Location:Iowa
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 268982 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Myalgia, Neck pain

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:
Current Illness:
Preexisting Conditions: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900190501

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''s Palsy. Prior to onset of Bell''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.


Changed on 5/14/2017

VAERS ID: 26637 Before After
VAERS Form:
Age:
Sex:Male
Location:Iowa
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 268982 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Myalgia, Neck pain

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900190501

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''s Palsy. Prior to onset of Bell''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.


Changed on 9/14/2017

VAERS ID: 26637 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:Iowa
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 268982 / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Myalgia, Neck pain

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900190501

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''s Palsy. Prior to onset of Bell''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.


Changed on 2/14/2018

VAERS ID: 26637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Iowa
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 268982 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Myalgia, Neck pain

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900190501

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''s Palsy. Prior to onset of Bell''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.


Changed on 6/14/2018

VAERS ID: 26637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Iowa
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 268982 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Myalgia, Neck pain

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900190501

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''s Palsy. Prior to onset of Bell''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.


Changed on 8/14/2018

VAERS ID: 26637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Iowa
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 268982 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Myalgia, Neck pain

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900190501

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''s Palsy. Prior to onset of Bell''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.


Changed on 9/14/2018

VAERS ID: 26637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Iowa
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 268982 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Myalgia, Neck pain

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900190501

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''s Palsy. Prior to onset of Bell''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.


Changed on 10/14/2018

VAERS ID: 26637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Iowa
Vaccinated:1990-09-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 268982 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Myalgia, Neck pain

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Prior to onset of Bell''s Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900190501

Write-up: Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell''s Palsy. Prior to onset of Bell''s Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26637&WAYBACKHISTORY=ON


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