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This is VAERS ID 32164

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 32164
VAERS Form:
Age:46.0
Sex:Male
Location:Utah
Vaccinated:1990-04-01
Onset:1990-04-01
Submitted:1991-06-05
Entered:1991-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS / WYETH 4908007 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: EDEMA INJECT SITE, PAIN INJECT SITE, ASTHENIA, NEURITIS, HYPALGESIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: MRI performed soon after immun showed dessicated disc @ C56- & C6-7
Allergies:
Diagnostic Lab Data: Nerve cirduction test showed no abnormalities of the Ulnar nerve, ME6 showed denervation involving C8 & T1 nerve roots;
CDC 'Split Type':

Write-up: Pt exp swelling w/pain @ inject site p/recvd Td; Also devel numb, painful tingling sensation involving lt arm, chest, shoulder, neck, elbow & forearm; Diffuse weakness of lt upper extremity & sensory loss C8; poss brachial plexus neuritis;


Changed on 12/8/2009

VAERS ID: 32164 Before After
VAERS Form:
Age:46.0
Sex:Male
Location:Utah
Vaccinated:1990-04-01
Onset:1990-04-01
Submitted:1991-06-05
Entered:1991-07-10 1991-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / WYETH WYETH PHARMACEUTICALS, INC 4908007 / - - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Asthenia, Hypoaesthesia, Injection site oedema, Injection site pain, Neuritis, Paraesthesia, EDEMA INJECT SITE, PAIN INJECT SITE, ASTHENIA, NEURITIS, HYPALGESIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: MRI performed soon after immun showed dessicated disc @ C56- & C6-7
Allergies:
Diagnostic Lab Data: Nerve cirduction test showed no abnormalities of the Ulnar nerve, ME6 showed denervation involving C8 & T1 nerve roots;
CDC 'Split Type': (blank) 891123002B

Write-up: Pt exp swelling w/pain @ inject site p/recvd Td; Also devel numb, painful tingling sensation involving lt arm, chest, shoulder, neck, elbow & forearm; Diffuse weakness of lt upper extremity & sensory loss C8; poss brachial plexus neuritis;


Changed on 8/31/2010

VAERS ID: 32164 Before After
VAERS Form:
Age:46.0
Sex:Male
Location:Utah
Vaccinated:1990-04-01
Onset:1990-04-01
Submitted:1991-06-05
Entered:1991-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908007 / - - / IM

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Hypoaesthesia, Injection site oedema, Injection site pain, Neuritis, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: MRI performed soon after immun showed dessicated disc @ C56- & C6-7
Allergies:
Diagnostic Lab Data: Nerve cirduction test showed no abnormalities of the Ulnar nerve, ME6 showed denervation involving C8 & T1 nerve roots;
CDC 'Split Type': 891123002B

Write-up: Pt exp swelling w/pain @ inject site p/recvd Td; Also devel numb, painful tingling sensation involving lt arm, chest, shoulder, neck, elbow & forearm; Diffuse weakness of lt upper extremity & sensory loss C8; poss brachial plexus neuritis;


Changed on 5/14/2017

VAERS ID: 32164 Before After
VAERS Form:
Age:46.0
Sex:Male
Location:Utah
Vaccinated:1990-04-01
Onset:1990-04-01
Submitted:1991-06-05
Entered:1991-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4908007 / - - / IM

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Hypoaesthesia, Injection site oedema, Injection site pain, Neuritis, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: MRI performed soon after immun showed dessicated disc @ C56- & C6-7
Allergies:
Diagnostic Lab Data: Nerve cirduction test showed no abnormalities of the Ulnar nerve, ME6 showed denervation involving C8 & T1 nerve roots;
CDC 'Split Type': 891123002B

Write-up: Pt exp swelling w/pain @ inject site p/recvd Td; Also devel numb, painful tingling sensation involving lt arm, chest, shoulder, neck, elbow & forearm; Diffuse weakness of lt upper extremity & sensory loss C8; poss brachial plexus neuritis;


Changed on 9/14/2017

VAERS ID: 32164 Before After
VAERS Form:(blank) 1
Age:46.0
Sex:Male
Location:Utah
Vaccinated:1990-04-01
Onset:1990-04-01
Submitted:1991-06-05
Entered:1991-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4908007 / - UNK - / IM

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Hypoaesthesia, Injection site oedema, Injection site pain, Neuritis, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: MRI performed soon after immun showed dessicated disc @ C56- & C6-7
Allergies:
Diagnostic Lab Data: Nerve cirduction test showed no abnormalities of the Ulnar nerve, ME6 showed denervation involving C8 & T1 nerve roots;
CDC 'Split Type': 891123002B

Write-up: Pt exp swelling w/pain @ inject site p/recvd Td; Also devel numb, painful tingling sensation involving lt arm, chest, shoulder, neck, elbow & forearm; Diffuse weakness of lt upper extremity & sensory loss C8; poss brachial plexus neuritis;


Changed on 2/14/2018

VAERS ID: 32164 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Utah
Vaccinated:1990-04-01
Onset:1990-04-01
Submitted:1991-06-05
Entered:1991-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4908007 / UNK - / IM

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Hypoaesthesia, Injection site oedema, Injection site pain, Neuritis, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: MRI performed soon after immun showed dessicated disc @ C56- & C6-7
Allergies:
Diagnostic Lab Data: Nerve cirduction test showed no abnormalities of the Ulnar nerve, ME6 showed denervation involving C8 & T1 nerve roots;
CDC 'Split Type': 891123002B

Write-up: Pt exp swelling w/pain @ inject site p/recvd Td; Also devel numb, painful tingling sensation involving lt arm, chest, shoulder, neck, elbow & forearm; Diffuse weakness of lt upper extremity & sensory loss C8; poss brachial plexus neuritis;


Changed on 6/14/2018

VAERS ID: 32164 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Utah
Vaccinated:1990-04-01
Onset:1990-04-01
Submitted:1991-06-05
Entered:1991-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4908007 / UNK - / IM

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Hypoaesthesia, Injection site oedema, Injection site pain, Neuritis, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: MRI performed soon after immun showed dessicated disc @ C56- & C6-7
Allergies:
Diagnostic Lab Data: Nerve cirduction test showed no abnormalities of the Ulnar nerve, ME6 showed denervation involving C8 & T1 nerve roots;
CDC 'Split Type': 891123002B

Write-up: Pt exp swelling w/pain @ inject site p/recvd Td; Also devel numb, painful tingling sensation involving lt arm, chest, shoulder, neck, elbow & forearm; Diffuse weakness of lt upper extremity & sensory loss C8; poss brachial plexus neuritis;


Changed on 8/14/2018

VAERS ID: 32164 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Utah
Vaccinated:1990-04-01
Onset:1990-04-01
Submitted:1991-06-05
Entered:1991-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4908007 / UNK - / IM

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Hypoaesthesia, Injection site oedema, Injection site pain, Neuritis, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: MRI performed soon after immun showed dessicated disc @ C56- & C6-7
Allergies:
Diagnostic Lab Data: Nerve cirduction test showed no abnormalities of the Ulnar nerve, ME6 showed denervation involving C8 & T1 nerve roots;
CDC 'Split Type': 891123002B

Write-up: Pt exp swelling w/pain @ inject site p/recvd Td; Also devel numb, painful tingling sensation involving lt arm, chest, shoulder, neck, elbow & forearm; Diffuse weakness of lt upper extremity & sensory loss C8; poss brachial plexus neuritis;


Changed on 9/14/2018

VAERS ID: 32164 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Utah
Vaccinated:1990-04-01
Onset:1990-04-01
Submitted:1991-06-05
Entered:1991-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4908007 / UNK - / IM

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Hypoaesthesia, Injection site oedema, Injection site pain, Neuritis, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: MRI performed soon after immun showed dessicated disc @ C56- & C6-7
Allergies:
Diagnostic Lab Data: Nerve cirduction test showed no abnormalities of the Ulnar nerve, ME6 showed denervation involving C8 & T1 nerve roots;
CDC 'Split Type': 891123002B

Write-up: Pt exp swelling w/pain @ inject site p/recvd Td; Also devel numb, painful tingling sensation involving lt arm, chest, shoulder, neck, elbow & forearm; Diffuse weakness of lt upper extremity & sensory loss C8; poss brachial plexus neuritis;


Changed on 10/14/2018

VAERS ID: 32164 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Utah
Vaccinated:1990-04-01
Onset:1990-04-01
Submitted:1991-06-05
Entered:1991-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4908007 / UNK - / IM

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Hypoaesthesia, Injection site oedema, Injection site pain, Neuritis, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: MRI performed soon after immun showed dessicated disc @ C56- & C6-7
Allergies:
Diagnostic Lab Data: Nerve cirduction test showed no abnormalities of the Ulnar nerve, ME6 showed denervation involving C8 & T1 nerve roots;
CDC 'Split Type': 891123002B

Write-up: Pt exp swelling w/pain @ inject site p/recvd Td; Also devel numb, painful tingling sensation involving lt arm, chest, shoulder, neck, elbow & forearm; Diffuse weakness of lt upper extremity & sensory loss C8; poss brachial plexus neuritis;

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