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History of Changes from the VAERS Wayback Machine |
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
Write-up: Numbness, tingling, face hands, feet. Paralysis, face. Weakness, upper & lower extremities
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
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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