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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 28416 |
VAERS Form: | |
Age: | 76.2 |
Sex: | Male |
Location: | Georgia |
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-03-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH | 4908209 / 2 | LA / IM |
Administered by: Public Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, ASTHENIA
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-03-05 1991-02-25 |
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 | 4908209 / 2 | LA / IM |
Administered by: Public Purchased by: Unknown Public
Symptoms: Asthenia, Guillain-Barre syndrome, GUILLAIN BARRE SYND, ASTHENIA
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH | 4908209 / 2 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 2 | LA / IM |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 2 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 2 | LA / IM |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 2 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 2 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 2 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 2 3 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 3 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 3 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 3 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 3 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 3 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 3 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
Vaccinated: | 1991-01-02 |
Onset: | 1991-01-28 |
Submitted: | 1991-01-28 |
Entered: | 1991-02-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908209 / 3 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
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: 7
Write-up: C/O of progressive weakness in arms & legs since vax 2Jan91, getting worse 28Jan91-resulting in MD visit, Hospitalized 1Feb91, Dx: Guillain Barre Disease
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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28416&WAYBACKHISTORY=ON
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