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This is VAERS ID 27315

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27315
VAERS Form:
Age:65.7
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS 02580P / - LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: HEADACHE, PARALYSIS FACIAL, PARESTHESIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 12/8/2009

VAERS ID: 27315 Before After
VAERS Form:
Age:65.7
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-09 1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS 02580P / - LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia, HEADACHE, PARALYSIS FACIAL, PARESTHESIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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) FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 8/31/2010

VAERS ID: 27315 Before After
VAERS Form:
Age:65.7
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / - LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 7/7/2013

VAERS ID: 27315 Before After
VAERS Form:
Age:65.7
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / - LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / - LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 2/14/2017

VAERS ID: 27315 Before After
VAERS Form:
Age:65.7 65.0
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / - LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 5/14/2017

VAERS ID: 27315 Before After
VAERS Form:
Age:65.0
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / - LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 9/14/2017

VAERS ID: 27315 Before After
VAERS Form:(blank) 1
Age:65.0
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / - UNK LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 2/14/2018

VAERS ID: 27315 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 6/14/2018

VAERS ID: 27315 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 8/14/2018

VAERS ID: 27315 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 9/14/2018

VAERS ID: 27315 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 10/14/2018

VAERS ID: 27315 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 12/24/2020

VAERS ID: 27315 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 12/30/2020

VAERS ID: 27315 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 5/7/2021

VAERS ID: 27315 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.


Changed on 5/14/2021

VAERS ID: 27315 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': FL9005

Write-up: Pt vaccinated with FLUOGEN developed severe headache approx 15 hrs after injection. Numbness & "drawing" of rt side of face 3 days later. Bell''s Palsy.

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