National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 29946

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29946
VAERS Form:
Age:19.0
Sex:Male
Location:New Mexico
Vaccinated:1990-10-01
Onset:1990-10-01
Submitted:0000-00-00
Entered:1991-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: NEUROPATHY, BRAIN STEM DIS

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? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Pt had flu shot 1 yr ago w/out problems
Allergies:
Diagnostic Lab Data: MRI & CT head scan - WNL; Sp Tap- no available
CDC 'Split Type':

Write-up: Brain stem disordr, cranial nerve palsies are rept''d in a pt rec''d Fluogen; Approx 1OCT90 rec''d vax 1 wk later developed cranial nerve palsies w/the concern of a poss demyelinating condition of the brain stem;


Changed on 12/8/2009

VAERS ID: 29946 Before After
VAERS Form:
Age:19.0
Sex:Male
Location:New Mexico
Vaccinated:1990-10-01
Onset:1990-10-01
Submitted:0000-00-00
Entered:1991-04-19 1991-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy, Brain stem syndrome, NEUROPATHY, BRAIN STEM DIS

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? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Pt had flu shot 1 yr ago w/out problems
Allergies:
Diagnostic Lab Data: MRI & CT head scan - WNL; Sp Tap- no available
CDC 'Split Type': (blank) 904090006

Write-up: Brain stem disordr, cranial nerve palsies are rept''d in a pt rec''d Fluogen; Approx 1OCT90 rec''d vax 1 wk later developed cranial nerve palsies w/the concern of a poss demyelinating condition of the brain stem;


Changed on 8/31/2010

VAERS ID: 29946 Before After
VAERS Form:
Age:19.0
Sex:Male
Location:New Mexico
Vaccinated:1990-10-01
Onset:1990-10-01
Submitted:0000-00-00
Entered:1991-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy, Brain stem 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:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Pt had flu shot 1 yr ago w/out problems
Allergies:
Diagnostic Lab Data: MRI & CT head scan - WNL; Sp Tap- no available
CDC 'Split Type': 904090006

Write-up: Brain stem disordr, cranial nerve palsies are rept''d in a pt rec''d Fluogen; Approx 1OCT90 rec''d vax 1 wk later developed cranial nerve palsies w/the concern of a poss demyelinating condition of the brain stem;


Changed on 7/7/2013

VAERS ID: 29946 Before After
VAERS Form:
Age:19.0
Sex:Male
Location:New Mexico
Vaccinated:1990-10-01
Onset:1990-10-01
Submitted:0000-00-00
Entered:1991-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy, Brain stem 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:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Pt had flu shot 1 yr ago w/out problems
Allergies:
Diagnostic Lab Data: MRI & CT head scan - WNL; Sp Tap- no available
CDC 'Split Type': 904090006

Write-up: Brain stem disordr, cranial nerve palsies are rept''d in a pt rec''d Fluogen; Approx 1OCT90 rec''d vax 1 wk later developed cranial nerve palsies w/the concern of a poss demyelinating condition of the brain stem;


Changed on 5/14/2017

VAERS ID: 29946 Before After
VAERS Form:
Age:19.0
Sex:Male
Location:New Mexico
Vaccinated:1990-10-01
Onset:1990-10-01
Submitted:0000-00-00
Entered:1991-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy, Brain stem 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:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Pt had flu shot 1 yr ago w/out problems
Allergies:
Diagnostic Lab Data: MRI & CT head scan - WNL; Sp Tap- no available
CDC 'Split Type': 904090006

Write-up: Brain stem disordr, cranial nerve palsies are rept''d in a pt rec''d Fluogen; Approx 1OCT90 rec''d vax 1 wk later developed cranial nerve palsies w/the concern of a poss demyelinating condition of the brain stem;


Changed on 9/14/2017

VAERS ID: 29946 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Male
Location:New Mexico
Vaccinated:1990-10-01
Onset:1990-10-01
Submitted:0000-00-00
Entered:1991-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy, Brain stem 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:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Pt had flu shot 1 yr ago w/out problems
Allergies:
Diagnostic Lab Data: MRI & CT head scan - WNL; Sp Tap- no available
CDC 'Split Type': 904090006

Write-up: Brain stem disordr, cranial nerve palsies are rept''d in a pt rec''d Fluogen; Approx 1OCT90 rec''d vax 1 wk later developed cranial nerve palsies w/the concern of a poss demyelinating condition of the brain stem;


Changed on 2/14/2018

VAERS ID: 29946 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:New Mexico
Vaccinated:1990-10-01
Onset:1990-10-01
Submitted:0000-00-00
Entered:1991-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy, Brain stem 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:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Pt had flu shot 1 yr ago w/out problems
Allergies:
Diagnostic Lab Data: MRI & CT head scan - WNL; Sp Tap- no available
CDC 'Split Type': 904090006

Write-up: Brain stem disordr, cranial nerve palsies are rept''d in a pt rec''d Fluogen; Approx 1OCT90 rec''d vax 1 wk later developed cranial nerve palsies w/the concern of a poss demyelinating condition of the brain stem;


Changed on 6/14/2018

VAERS ID: 29946 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:New Mexico
Vaccinated:1990-10-01
Onset:1990-10-01
Submitted:0000-00-00
Entered:1991-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy, Brain stem 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:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Pt had flu shot 1 yr ago w/out problems
Allergies:
Diagnostic Lab Data: MRI & CT head scan - WNL; Sp Tap- no available
CDC 'Split Type': 904090006

Write-up: Brain stem disordr, cranial nerve palsies are rept''d in a pt rec''d Fluogen; Approx 1OCT90 rec''d vax 1 wk later developed cranial nerve palsies w/the concern of a poss demyelinating condition of the brain stem;


Changed on 8/14/2018

VAERS ID: 29946 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:New Mexico
Vaccinated:1990-10-01
Onset:1990-10-01
Submitted:0000-00-00
Entered:1991-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy, Brain stem 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:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Pt had flu shot 1 yr ago w/out problems
Allergies:
Diagnostic Lab Data: MRI & CT head scan - WNL; Sp Tap- no available
CDC 'Split Type': 904090006

Write-up: Brain stem disordr, cranial nerve palsies are rept''d in a pt rec''d Fluogen; Approx 1OCT90 rec''d vax 1 wk later developed cranial nerve palsies w/the concern of a poss demyelinating condition of the brain stem;


Changed on 9/14/2018

VAERS ID: 29946 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:New Mexico
Vaccinated:1990-10-01
Onset:1990-10-01
Submitted:0000-00-00
Entered:1991-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy, Brain stem 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:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Pt had flu shot 1 yr ago w/out problems
Allergies:
Diagnostic Lab Data: MRI & CT head scan - WNL; Sp Tap- no available
CDC 'Split Type': 904090006

Write-up: Brain stem disordr, cranial nerve palsies are rept''d in a pt rec''d Fluogen; Approx 1OCT90 rec''d vax 1 wk later developed cranial nerve palsies w/the concern of a poss demyelinating condition of the brain stem;


Changed on 10/14/2018

VAERS ID: 29946 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:New Mexico
Vaccinated:1990-10-01
Onset:1990-10-01
Submitted:0000-00-00
Entered:1991-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy, Brain stem 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:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Pt had flu shot 1 yr ago w/out problems
Allergies:
Diagnostic Lab Data: MRI & CT head scan - WNL; Sp Tap- no available
CDC 'Split Type': 904090006

Write-up: Brain stem disordr, cranial nerve palsies are rept''d in a pt rec''d Fluogen; Approx 1OCT90 rec''d vax 1 wk later developed cranial nerve palsies w/the concern of a poss demyelinating condition of the brain stem;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=29946&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166