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This is VAERS ID 27202

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27202
VAERS Form:
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, ""chronic Inflammatory demyelinating polyneuropathy""


Changed on 12/8/2009

VAERS ID: 27202 Before After
VAERS Form:
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1991-01-24 1990-12-27
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 - / - - / -

Administered by: Other      Purchased by: Unknown Private
Symptoms: Guillain-Barre syndrome, GUILLAIN BARRE SYND

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, ""chronic "chronic Inflammatory demyelinating polyneuropathy"" polyneuropathy"


Changed on 8/31/2010

VAERS ID: 27202 Before After
VAERS Form:
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Private
Symptoms: Guillain-Barre syndrome

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"


Changed on 7/7/2013

VAERS ID: 27202 Before After
VAERS Form:
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Private
Symptoms: Guillain-Barre syndrome

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"


Changed on 12/14/2016

VAERS ID: 27202 Before After
VAERS Form:
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Private
Symptoms: Guillain-Barre syndrome

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"


Changed on 5/14/2017

VAERS ID: 27202 Before After
VAERS Form:
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Private
Symptoms: Guillain-Barre syndrome

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series series~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"


Changed on 9/14/2017

VAERS ID: 27202 Before After
VAERS Form:(blank) 1
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - UNK - / -

Administered by: Other      Purchased by: Private
Symptoms: Guillain-Barre syndrome

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"


Changed on 2/14/2018

VAERS ID: 27202 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Private
Symptoms: Guillain-Barre syndrome

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"


Changed on 6/14/2018

VAERS ID: 27202 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Private
Symptoms: Guillain-Barre syndrome

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"


Changed on 8/14/2018

VAERS ID: 27202 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Private
Symptoms: Guillain-Barre syndrome

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"


Changed on 9/14/2018

VAERS ID: 27202 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Private
Symptoms: Guillain-Barre syndrome

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"


Changed on 10/14/2018

VAERS ID: 27202 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Private
Symptoms: Guillain-Barre syndrome

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"


Changed on 12/24/2020

VAERS ID: 27202 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Private
Symptoms: Guillain-Barre syndrome

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"


Changed on 12/30/2020

VAERS ID: 27202 Before After
VAERS Form:1
Age:49.0
Sex:Male
Location:New York
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-12-21
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Private
Symptoms: Guillain-Barre syndrome

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: In pt, GBS, age 49, Vax-Flu, ?dose # in series~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Electophysiological studies
CDC 'Split Type':

Write-up: Guillain Barre Syndrome, "chronic Inflammatory demyelinating polyneuropathy"

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27202&WAYBACKHISTORY=ON


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