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This is VAERS ID 30202

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 30202
VAERS Form:
Age:41.9
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908200 / 0 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': Hypertension

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 12/8/2009

VAERS ID: 30202 Before After
VAERS Form:
Age:41.9
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-05-07 1991-04-29
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 4908200 / 0 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Pain, Paraesthesia, PAIN, PARESTHESIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': Hypertension UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 8/31/2010

VAERS ID: 30202 Before After
VAERS Form:
Age:41.9
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908200 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 7/7/2013

VAERS ID: 30202 Before After
VAERS Form:
Age:41.9
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 0 LA / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 12/14/2016

VAERS ID: 30202 Before After
VAERS Form:
Age:41.9
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 0 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 2/14/2017

VAERS ID: 30202 Before After
VAERS Form:
Age:41.9 41.0
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 5/14/2017

VAERS ID: 30202 Before After
VAERS Form:
Age:41.0
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 9/14/2017

VAERS ID: 30202 Before After
VAERS Form:(blank) 1
Age:41.0
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 0 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 2/14/2018

VAERS ID: 30202 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 6/14/2018

VAERS ID: 30202 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 8/14/2018

VAERS ID: 30202 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 9/14/2018

VAERS ID: 30202 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 10/14/2018

VAERS ID: 30202 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 12/24/2020

VAERS ID: 30202 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 12/30/2020

VAERS ID: 30202 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 5/7/2021

VAERS ID: 30202 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;


Changed on 5/14/2021

VAERS ID: 30202 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Utah
Vaccinated:1990-10-30
Onset:1990-11-02
Submitted:1990-11-30
Entered:1991-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908200 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Anti-inflammatory(ASA), APAP
Current Illness: NONE
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': UT9110

Write-up: 3 days p/inject pt experienced aching throughout lt arm w/same tingling & numbness of index & middle fingers; P/20NOV90 pain inc & is now severe; Turning neck seems to initiate pain;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=30202&WAYBACKHISTORY=ON

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