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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 28077 |
VAERS Form: | |
Age: | 72.4 |
Sex: | Male |
Location: | Wisconsin |
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-14 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS | 0J11164 / - | - / - |
Administered by: Military Purchased by: Unknown
Symptoms: PAIN BACK, GUILLAIN BARRE SYND, ASTHENIA, PARESTHESIA
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-14 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUZONE 1990-1991 CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABS CONNAUGHT LABORATORIES | 0J11164 / - | - / - |
Administered by: Military Purchased by: Unknown Other
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia, PAIN BACK, GUILLAIN BARRE SYND, ASTHENIA, PARESTHESIA
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABORATORIES | 0J11164 / - | - / - |
Administered by: Military Purchased by: Other Unknown
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / - | - / - |
Administered by: Military Purchased by: Unknown
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / - | - / - |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / - | - / - |
Administered by: Military Purchased by: Unknown
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / - | - / - |
Administered by: Military Purchased by: Unknown
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / - | - / - |
Administered by: Military Purchased by: Unknown
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / - | - / - |
Administered by: Military Purchased by: Unknown Other
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / - UNK | - / - |
Administered by: Military Purchased by: Other
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / UNK | - / - |
Administered by: Military Purchased by: Other
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / UNK | - / - |
Administered by: Military Purchased by: Other
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / UNK | - / - |
Administered by: Military Purchased by: Other
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / UNK | - / - |
Administered by: Military Purchased by: Other
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / UNK | - / - |
Administered by: Military Purchased by: Other
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / UNK | - / - |
Administered by: Military Purchased by: Other
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Vaccinated: | 1990-10-16 |
Onset: | 1990-10-31 |
Submitted: | 1991-02-07 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0J11164 / UNK | - / - |
Administered by: Military Purchased by: Other
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
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:
Write-up: Possible GBS. While on vacation developed back pain, numbness & weakness in leg. Hospitalized. Currently undergoing physiotherapy.
Link To This Search Result:
https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28077&WAYBACKHISTORY=ON
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