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This is VAERS ID 28476

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 28476
VAERS Form:
Age:28.0
Sex:Male
Location:North Carolina
Vaccinated:1990-09-27
Onset:1990-09-28
Submitted:0000-00-00
Entered:1991-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908193 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: HEADACHE, FLU SYND, ASTHENIA, PARESTHESIA, 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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed headache & flu-like sx for approx 2 days followed by slight numbness of hands & feet. Developed weakness that progressed to paralysis.


Changed on 12/8/2009

VAERS ID: 28476 Before After
VAERS Form:
Age:28.0
Sex:Male
Location:North Carolina
Vaccinated:1990-09-27
Onset:1990-09-28
Submitted:0000-00-00
Entered:1991-03-05 1991-02-26
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 4908193 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Headache, Influenza, Paraesthesia, Paralysis, HEADACHE, FLU SYND, ASTHENIA, PARESTHESIA, 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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed headache & flu-like sx for approx 2 days followed by slight numbness of hands & feet. Developed weakness that progressed to paralysis.


Changed on 8/31/2010

VAERS ID: 28476 Before After
VAERS Form:
Age:28.0
Sex:Male
Location:North Carolina
Vaccinated:1990-09-27
Onset:1990-09-28
Submitted:0000-00-00
Entered:1991-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908193 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Headache, Influenza, 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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed headache & flu-like sx for approx 2 days followed by slight numbness of hands & feet. Developed weakness that progressed to paralysis.


Changed on 7/7/2013

VAERS ID: 28476 Before After
VAERS Form:
Age:28.0
Sex:Male
Location:North Carolina
Vaccinated:1990-09-27
Onset:1990-09-28
Submitted:0000-00-00
Entered:1991-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908193 / - - / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908193 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Headache, Influenza, 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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed headache & flu-like sx for approx 2 days followed by slight numbness of hands & feet. Developed weakness that progressed to paralysis.


Changed on 12/14/2016

VAERS ID: 28476 Before After
VAERS Form:
Age:28.0
Sex:Male
Location:North Carolina
Vaccinated:1990-09-27
Onset:1990-09-28
Submitted:0000-00-00
Entered:1991-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908193 / - - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908193 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Headache, Influenza, 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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed headache & flu-like sx for approx 2 days followed by slight numbness of hands & feet. Developed weakness that progressed to paralysis.


Changed on 5/14/2017

VAERS ID: 28476 Before After
VAERS Form:
Age:28.0
Sex:Male
Location:North Carolina
Vaccinated:1990-09-27
Onset:1990-09-28
Submitted:0000-00-00
Entered:1991-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908193 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Headache, Influenza, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed headache & flu-like sx for approx 2 days followed by slight numbness of hands & feet. Developed weakness that progressed to paralysis.


Changed on 9/14/2017

VAERS ID: 28476 Before After
VAERS Form:(blank) 1
Age:28.0
Sex:Male
Location:North Carolina
Vaccinated:1990-09-27
Onset:1990-09-28
Submitted:0000-00-00
Entered:1991-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908193 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Headache, Influenza, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed headache & flu-like sx for approx 2 days followed by slight numbness of hands & feet. Developed weakness that progressed to paralysis.


Changed on 2/14/2018

VAERS ID: 28476 Before After
VAERS Form:1
Age:28.0
Sex:Male
Location:North Carolina
Vaccinated:1990-09-27
Onset:1990-09-28
Submitted:0000-00-00
Entered:1991-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908193 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Headache, Influenza, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed headache & flu-like sx for approx 2 days followed by slight numbness of hands & feet. Developed weakness that progressed to paralysis.


Changed on 6/14/2018

VAERS ID: 28476 Before After
VAERS Form:1
Age:28.0
Sex:Male
Location:North Carolina
Vaccinated:1990-09-27
Onset:1990-09-28
Submitted:0000-00-00
Entered:1991-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908193 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Headache, Influenza, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed headache & flu-like sx for approx 2 days followed by slight numbness of hands & feet. Developed weakness that progressed to paralysis.


Changed on 8/14/2018

VAERS ID: 28476 Before After
VAERS Form:1
Age:28.0
Sex:Male
Location:North Carolina
Vaccinated:1990-09-27
Onset:1990-09-28
Submitted:0000-00-00
Entered:1991-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908193 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Headache, Influenza, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed headache & flu-like sx for approx 2 days followed by slight numbness of hands & feet. Developed weakness that progressed to paralysis.


Changed on 9/14/2018

VAERS ID: 28476 Before After
VAERS Form:1
Age:28.0
Sex:Male
Location:North Carolina
Vaccinated:1990-09-27
Onset:1990-09-28
Submitted:0000-00-00
Entered:1991-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908193 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Headache, Influenza, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed headache & flu-like sx for approx 2 days followed by slight numbness of hands & feet. Developed weakness that progressed to paralysis.


Changed on 10/14/2018

VAERS ID: 28476 Before After
VAERS Form:1
Age:28.0
Sex:Male
Location:North Carolina
Vaccinated:1990-09-27
Onset:1990-09-28
Submitted:0000-00-00
Entered:1991-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908193 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Headache, Influenza, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed headache & flu-like sx for approx 2 days followed by slight numbness of hands & feet. Developed weakness that progressed to paralysis.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28476&WAYBACKHISTORY=ON


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