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This is VAERS ID 27179

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27179
VAERS Form:
Age:70.2
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: NEUROPATHY

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 12/8/2009

VAERS ID: 27179 Before After
VAERS Form:
Age:70.2
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1991-01-08 1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy, NEUROPATHY

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 7/7/2013

VAERS ID: 27179 Before After
VAERS Form:
Age:70.2
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 12/14/2016

VAERS ID: 27179 Before After
VAERS Form:
Age:70.2
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 2/14/2017

VAERS ID: 27179 Before After
VAERS Form:
Age:70.2 70.0
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 5/14/2017

VAERS ID: 27179 Before After
VAERS Form:
Age:70.0
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 9/14/2017

VAERS ID: 27179 Before After
VAERS Form:(blank) 1
Age:70.0
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 2/14/2018

VAERS ID: 27179 Before After
VAERS Form:1
Age:70.0
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 6/14/2018

VAERS ID: 27179 Before After
VAERS Form:1
Age:70.0
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 8/14/2018

VAERS ID: 27179 Before After
VAERS Form:1
Age:70.0
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 9/14/2018

VAERS ID: 27179 Before After
VAERS Form:1
Age:70.0
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 10/14/2018

VAERS ID: 27179 Before After
VAERS Form:1
Age:70.0
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 12/24/2020

VAERS ID: 27179 Before After
VAERS Form:1
Age:70.0
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 12/30/2020

VAERS ID: 27179 Before After
VAERS Form:1
Age:70.0
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 5/7/2021

VAERS ID: 27179 Before After
VAERS Form:1
Age:70.0
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.


Changed on 5/14/2021

VAERS ID: 27179 Before After
VAERS Form:1
Age:70.0
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:1990-10-12
Submitted:1990-12-17
Entered:1990-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Neuropathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: s/d recent CVA
Preexisting Conditions: diabetes, HTN
Allergies:
Diagnostic Lab Data: EMG''s x2, CT & MRI of head
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed rt brachial plexopathy - primarily in distribution of axillary nerve.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27179&WAYBACKHISTORY=ON


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