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This is VAERS ID 28359

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 28359
VAERS Form:
Age:47.8
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908205 / 1 A / -

Administered by: Private      Purchased by: Unknown
Symptoms: PARALYSIS FACIAL, 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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

Changed on 12/8/2009

VAERS ID: 28359 Before After
VAERS Form:
Age:47.8
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-26 1991-02-18
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 4908205 / 1 A / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Asthenia, Facial palsy, Paraesthesia, PARALYSIS FACIAL, 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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

Changed on 8/31/2010

VAERS ID: 28359 Before After
VAERS Form:
Age:47.8
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908205 / 1 A / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Facial palsy, 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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

Changed on 7/7/2013

VAERS ID: 28359 Before After
VAERS Form:
Age:47.8
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 1 A / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 1 A / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Facial palsy, 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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

Changed on 12/14/2016

VAERS ID: 28359 Before After
VAERS Form:
Age:47.8
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 1 A / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 1 A / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Facial palsy, 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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

Changed on 2/14/2017

VAERS ID: 28359 Before After
VAERS Form:
Age:47.8 47.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 1 A / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Facial palsy, 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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

Changed on 5/14/2017

VAERS ID: 28359 Before After
VAERS Form:
Age:47.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 1 A - / - A

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Facial palsy, 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: 20     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

Changed on 9/14/2017

VAERS ID: 28359 Before After
VAERS Form:(blank) 1
Age:47.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 1 2 - / A

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Facial palsy, 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: 20     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

Changed on 2/14/2018

VAERS ID: 28359 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 2 - / A

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Facial palsy, 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: 20     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

Changed on 6/14/2018

VAERS ID: 28359 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 2 - / A

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Facial palsy, 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: 20     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

Changed on 8/14/2018

VAERS ID: 28359 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 2 - / A

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Facial palsy, 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: 20     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

Changed on 9/14/2018

VAERS ID: 28359 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 2 - / A

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Facial palsy, 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: 20     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

Changed on 10/14/2018

VAERS ID: 28359 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-31
Onset:1990-12-10
Submitted:1991-02-15
Entered:1991-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / 2 - / A

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Facial palsy, 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: 20     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Prednisone, Lopressor, Lasix, Vasotec
Current Illness:
Preexisting Conditions: Lupus, hypertension
Allergies:
Diagnostic Lab Data: EMG-polyneuropathy, EEG-normal
CDC 'Split Type':

Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28359&WAYBACKHISTORY=ON


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