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This is VAERS ID 27754

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27754
VAERS Form:
Age:60.3
Sex:Female
Location:Colorado
Vaccinated:1989-11-03
Onset:1989-11-03
Submitted:1990-12-17
Entered:1991-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS 9J01139 / 3 RA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: MENINGITIS, GAIT ABNORM, MYELITIS, PARALYSIS, MYASTHENIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 41     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC 'Split Type':

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


Changed on 12/8/2009

VAERS ID: 27754 Before After
VAERS Form:
Age:60.3
Sex:Female
Location:Colorado
Vaccinated:1989-11-03
Onset:1989-11-03
Submitted:1990-12-17
Entered:1991-02-07 1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 INFLUENZA (SEASONAL) (FLUZONE 89-90) / CONNAUGHT LABS CONNAUGHT LABORATORIES 9J01139 / 3 RA / IM

Administered by: Other      Purchased by: Unknown Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis, MENINGITIS, GAIT ABNORM, MYELITIS, PARALYSIS, MYASTHENIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 41     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC 'Split Type':

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


Changed on 8/31/2010

VAERS ID: 27754 Before After
VAERS Form:
Age:60.3
Sex:Female
Location:Colorado
Vaccinated:1989-11-03
Onset:1989-11-03
Submitted:1990-12-17
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 89-90) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 3 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 41     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC 'Split Type':

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


Changed on 7/7/2013

VAERS ID: 27754 Before After
VAERS Form:
Age:60.3
Sex:Female
Location:Colorado
Vaccinated:1989-11-03
Onset:1989-11-03
Submitted:1990-12-17
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 3 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 3 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 41     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC 'Split Type':

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


Changed on 2/14/2017

VAERS ID: 27754 Before After
VAERS Form:
Age:60.3 60.0
Sex:Female
Location:Colorado
Vaccinated:1989-11-03
Onset:1989-11-03
Submitted:1990-12-17
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 3 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 41     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC 'Split Type':

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


Changed on 5/14/2017

VAERS ID: 27754 Before After
VAERS Form:
Age:60.0
Sex:Female
Location:Colorado
Vaccinated:1989-11-03
Onset:1989-11-03
Submitted:1990-12-17
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 3 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 41     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC 'Split Type':

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


Changed on 9/14/2017

VAERS ID: 27754 Before After
VAERS Form:(blank) 1
Age:60.0
Sex:Female
Location:Colorado
Vaccinated:1989-11-03
Onset:1989-11-03
Submitted:1990-12-17
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 3 4 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 41     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC 'Split Type':

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


Changed on 2/14/2018

VAERS ID: 27754 Before After
VAERS Form:1
Age:60.0
Sex:Female
Location:Colorado
Vaccinated:1989-11-03
Onset:1989-11-03
Submitted:1990-12-17
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 4 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 41     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC 'Split Type':

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


Changed on 6/14/2018

VAERS ID: 27754 Before After
VAERS Form:1
Age:60.0
Sex:Female
Location:Colorado
Vaccinated:1989-11-03
Onset:1989-11-03
Submitted:1990-12-17
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 4 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 41     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC 'Split Type':

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


Changed on 8/14/2018

VAERS ID: 27754 Before After
VAERS Form:1
Age:60.0
Sex:Female
Location:Colorado
Vaccinated:1989-11-03
Onset:1989-11-03
Submitted:1990-12-17
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 4 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 41     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC 'Split Type':

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


Changed on 9/14/2018

VAERS ID: 27754 Before After
VAERS Form:1
Age:60.0
Sex:Female
Location:Colorado
Vaccinated:1989-11-03
Onset:1989-11-03
Submitted:1990-12-17
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 4 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 41     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC 'Split Type':

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.


Changed on 10/14/2018

VAERS ID: 27754 Before After
VAERS Form:1
Age:60.0
Sex:Female
Location:Colorado
Vaccinated:1989-11-03
Onset:1989-11-03
Submitted:1990-12-17
Entered:1990-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9J01139 / 4 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Dysuria, Gait disturbance, Meningitis, Myasthenic syndrome, Myelitis, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 41     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA, Multivitamin, Quinine Sulfate, Simethicone, & singlets.9Nov89 pneumonia vax given
Current Illness:
Preexisting Conditions: Degenrative arthritis
Allergies:
Diagnostic Lab Data: 26DEC89 XR narrowing of the L5-S1 interspace w/2nd degree spondolisthesis. CXR old fibrocalcific disease of both upper lobes. CBC: Hgb 14.9, Hct 44.5, Nl red cell indicies, Platelets 239,000. Urine neg, FBS 78, BUN 19, Creat 1.1, Lyte
CDC 'Split Type':

Write-up: Inc numbness of rt leg began w/in hrs of inject & condition progressed by JUN90 to bilat myelopathy. numbness in rt leg progressed to involve hip, proceeded all the way to foot, assoc w/weakness of leg, irreg bowel & difficult urinating.

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