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This is VAERS ID 29286

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29286
VAERS Form:
Age:74.4
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908208 / - LA / IM
PPV: PNU-IMUNE(R)23 / LEDERLE 287905 / - RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: PAIN, MYASTHENIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 12/8/2009

VAERS ID: 29286 Before After
VAERS Form:
Age:74.4
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-27 1991-03-22
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 4908208 / - LA / IM
PPV: PNU-IMUNE(R)23 PNEUMO (PNU-IMUNE) / LEDERLE LEDERLE LABORATORIES 287905 / - RA / IM

Administered by: Public      Purchased by: Unknown Private
Symptoms: Myasthenic syndrome, Pain, PAIN, MYASTHENIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 8/31/2010

VAERS ID: 29286 Before After
VAERS Form:
Age:74.4
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908208 / - LA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 287905 / - RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 7/7/2013

VAERS ID: 29286 Before After
VAERS Form:
Age:74.4
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / - LA / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / - LA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 287905 / - RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 12/14/2016

VAERS ID: 29286 Before After
VAERS Form:
Age:74.4
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / - LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / - LA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 287905 / - RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 2/14/2017

VAERS ID: 29286 Before After
VAERS Form:
Age:74.4 74.0
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / - LA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 287905 / - RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 5/14/2017

VAERS ID: 29286 Before After
VAERS Form:
Age:74.0
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / - LA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 287905 / - RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 9/14/2017

VAERS ID: 29286 Before After
VAERS Form:(blank) 1
Age:74.0
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / - UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 287905 / - UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 2/14/2018

VAERS ID: 29286 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 287905 / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 6/14/2018

VAERS ID: 29286 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 287905 / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 8/14/2018

VAERS ID: 29286 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 287905 / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 9/14/2018

VAERS ID: 29286 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 287905 / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 10/14/2018

VAERS ID: 29286 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 287905 / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 12/24/2020

VAERS ID: 29286 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 287905 / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 12/30/2020

VAERS ID: 29286 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 287905 / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 5/7/2021

VAERS ID: 29286 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 287905 / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"


Changed on 5/14/2021

VAERS ID: 29286 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Oregon
Vaccinated:1990-10-30
Onset:1990-10-30
Submitted:1991-03-11
Entered:1991-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908208 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 287905 / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Onset of pain & weakness rt arm & hand /win a few hrs of IM administration. "stroke R/O by neurologist"

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=29286&WAYBACKHISTORY=ON


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