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This is VAERS ID 26875

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26875
VAERS Form:
Age:
Sex:Unknown
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908201 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: PAIN BACK, NEUROPATHY, ASTHENIA, PARESTHESIA, CSF ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC 'Split Type':

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.


Changed on 12/8/2009

VAERS ID: 26875 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-05 1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) / WYETH WYETH PHARMACEUTICALS, INC 4908201 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Back pain, Neuropathy, Paraesthesia, CSF test abnormal, PAIN BACK, NEUROPATHY, ASTHENIA, PARESTHESIA, CSF ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC 'Split Type':

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.


Changed on 8/31/2010

VAERS ID: 26875 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908201 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Back pain, Neuropathy, Paraesthesia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC 'Split Type':

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.


Changed on 7/7/2013

VAERS ID: 26875 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Back pain, Neuropathy, Paraesthesia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC 'Split Type':

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.


Changed on 12/14/2016

VAERS ID: 26875 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Back pain, Neuropathy, Paraesthesia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC 'Split Type':

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.


Changed on 5/14/2017

VAERS ID: 26875 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Back pain, Neuropathy, Paraesthesia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC 'Split Type':

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.


Changed on 9/14/2017

VAERS ID: 26875 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Back pain, Neuropathy, Paraesthesia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC 'Split Type':

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.


Changed on 2/14/2018

VAERS ID: 26875 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Back pain, Neuropathy, Paraesthesia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC 'Split Type':

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.


Changed on 6/14/2018

VAERS ID: 26875 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Back pain, Neuropathy, Paraesthesia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC 'Split Type':

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.


Changed on 8/14/2018

VAERS ID: 26875 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Back pain, Neuropathy, Paraesthesia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC 'Split Type':

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.


Changed on 9/14/2018

VAERS ID: 26875 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Back pain, Neuropathy, Paraesthesia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC 'Split Type':

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.


Changed on 10/14/2018

VAERS ID: 26875 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Back pain, Neuropathy, Paraesthesia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.
CDC 'Split Type':

Write-up: Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26875&WAYBACKHISTORY=ON


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