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This is VAERS ID 34575

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 34575
VAERS Form:
Age:
Sex:Female
Location:Florida
Vaccinated:1989-10-15
Onset:1989-10-15
Submitted:1991-08-27
Entered:1991-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS 01899P / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: ARTHRITIS, DIZZINESS, ARTHRALGIA, AMNESIA, ATAXIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Joint paralysis, arthritic-like sz, loss of memory & loss of equilibrium & accompanying dizziness & unspecified various muscular & skeletal pains reported by husband of pt receiving Fluogen; Vax recvd on 15OCT89;


Changed on 12/8/2009

VAERS ID: 34575 Before After
VAERS Form:
Age:
Sex:Female
Location:Florida
Vaccinated:1989-10-15
Onset:1989-10-15
Submitted:1991-08-27
Entered:1991-09-09 1991-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS 01899P / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Amnesia, Arthralgia, Arthritis, Coordination abnormal, Dizziness, Myalgia, Paralysis, ARTHRITIS, DIZZINESS, ARTHRALGIA, AMNESIA, ATAXIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) 914089003

Write-up: Joint paralysis, arthritic-like sz, loss of memory & loss of equilibrium & accompanying dizziness & unspecified various muscular & skeletal pains reported by husband of pt receiving Fluogen; Vax recvd on 15OCT89;


Changed on 8/31/2010

VAERS ID: 34575 Before After
VAERS Form:
Age:
Sex:Female
Location:Florida
Vaccinated:1989-10-15
Onset:1989-10-15
Submitted:1991-08-27
Entered:1991-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01899P / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Arthralgia, Arthritis, Coordination abnormal, Dizziness, Myalgia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 914089003

Write-up: Joint paralysis, arthritic-like sz, loss of memory & loss of equilibrium & accompanying dizziness & unspecified various muscular & skeletal pains reported by husband of pt receiving Fluogen; Vax recvd on 15OCT89;


Changed on 7/7/2013

VAERS ID: 34575 Before After
VAERS Form:
Age:
Sex:Female
Location:Florida
Vaccinated:1989-10-15
Onset:1989-10-15
Submitted:1991-08-27
Entered:1991-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01899P / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01899P / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Arthralgia, Arthritis, Coordination abnormal, Dizziness, Myalgia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 914089003

Write-up: Joint paralysis, arthritic-like sz, loss of memory & loss of equilibrium & accompanying dizziness & unspecified various muscular & skeletal pains reported by husband of pt receiving Fluogen; Vax recvd on 15OCT89;


Changed on 5/14/2017

VAERS ID: 34575 Before After
VAERS Form:
Age:
Sex:Female
Location:Florida
Vaccinated:1989-10-15
Onset:1989-10-15
Submitted:1991-08-27
Entered:1991-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01899P / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Arthralgia, Arthritis, Coordination abnormal, Dizziness, Myalgia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 914089003

Write-up: Joint paralysis, arthritic-like sz, loss of memory & loss of equilibrium & accompanying dizziness & unspecified various muscular & skeletal pains reported by husband of pt receiving Fluogen; Vax recvd on 15OCT89;


Changed on 9/14/2017

VAERS ID: 34575 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Florida
Vaccinated:1989-10-15
Onset:1989-10-15
Submitted:1991-08-27
Entered:1991-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01899P / - UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Arthralgia, Arthritis, Coordination abnormal, Dizziness, Myalgia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 914089003

Write-up: Joint paralysis, arthritic-like sz, loss of memory & loss of equilibrium & accompanying dizziness & unspecified various muscular & skeletal pains reported by husband of pt receiving Fluogen; Vax recvd on 15OCT89;


Changed on 2/14/2018

VAERS ID: 34575 Before After
VAERS Form:1
Age:
Sex:Female
Location:Florida
Vaccinated:1989-10-15
Onset:1989-10-15
Submitted:1991-08-27
Entered:1991-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01899P / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Arthralgia, Arthritis, Coordination abnormal, Dizziness, Myalgia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 914089003

Write-up: Joint paralysis, arthritic-like sz, loss of memory & loss of equilibrium & accompanying dizziness & unspecified various muscular & skeletal pains reported by husband of pt receiving Fluogen; Vax recvd on 15OCT89;


Changed on 6/14/2018

VAERS ID: 34575 Before After
VAERS Form:1
Age:
Sex:Female
Location:Florida
Vaccinated:1989-10-15
Onset:1989-10-15
Submitted:1991-08-27
Entered:1991-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01899P / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Arthralgia, Arthritis, Coordination abnormal, Dizziness, Myalgia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 914089003

Write-up: Joint paralysis, arthritic-like sz, loss of memory & loss of equilibrium & accompanying dizziness & unspecified various muscular & skeletal pains reported by husband of pt receiving Fluogen; Vax recvd on 15OCT89;


Changed on 8/14/2018

VAERS ID: 34575 Before After
VAERS Form:1
Age:
Sex:Female
Location:Florida
Vaccinated:1989-10-15
Onset:1989-10-15
Submitted:1991-08-27
Entered:1991-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01899P / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Arthralgia, Arthritis, Coordination abnormal, Dizziness, Myalgia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 914089003

Write-up: Joint paralysis, arthritic-like sz, loss of memory & loss of equilibrium & accompanying dizziness & unspecified various muscular & skeletal pains reported by husband of pt receiving Fluogen; Vax recvd on 15OCT89;


Changed on 9/14/2018

VAERS ID: 34575 Before After
VAERS Form:1
Age:
Sex:Female
Location:Florida
Vaccinated:1989-10-15
Onset:1989-10-15
Submitted:1991-08-27
Entered:1991-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01899P / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Arthralgia, Arthritis, Coordination abnormal, Dizziness, Myalgia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 914089003

Write-up: Joint paralysis, arthritic-like sz, loss of memory & loss of equilibrium & accompanying dizziness & unspecified various muscular & skeletal pains reported by husband of pt receiving Fluogen; Vax recvd on 15OCT89;


Changed on 10/14/2018

VAERS ID: 34575 Before After
VAERS Form:1
Age:
Sex:Female
Location:Florida
Vaccinated:1989-10-15
Onset:1989-10-15
Submitted:1991-08-27
Entered:1991-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01899P / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Arthralgia, Arthritis, Coordination abnormal, Dizziness, Myalgia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 914089003

Write-up: Joint paralysis, arthritic-like sz, loss of memory & loss of equilibrium & accompanying dizziness & unspecified various muscular & skeletal pains reported by husband of pt receiving Fluogen; Vax recvd on 15OCT89;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=34575&WAYBACKHISTORY=ON


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