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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 36611 |
VAERS Form: | |
Age: | 56.7 |
Sex: | Female |
Location: | Missouri |
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-12-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA VACCINE 1991-1992 / WYETH | 4918146 / 0 | LA / IM |
Administered by: Public Purchased by: Unknown
Symptoms: HYPOKINESIA, GUILLAIN BARRE SYND, MYALGIA, MYASTHENIA, DYSPHAGIA
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-12-02 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA VACCINE 1991-1992 INFLUENZA (SEASONAL) (NO BRAND NAME, 91-92) / WYETH WYETH PHARMACEUTICALS, INC | 4918146 / 0 | LA / IM |
Administered by: Public Purchased by: Unknown Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting, HYPOKINESIA, GUILLAIN BARRE SYND, MYALGIA, MYASTHENIA, DYSPHAGIA
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 91-92) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH | 4918146 / 0 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 0 | LA / IM |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 0 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 0 | LA / IM |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 0 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 0 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 0 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 0 1 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 1 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 1 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 1 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 1 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 1 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 1 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
Vaccinated: | 1991-10-31 |
Onset: | 1991-11-09 |
Submitted: | 1991-11-15 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918146 / 1 | LA / IM |
Administered by: Public Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Vomiting
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: 1
Write-up: 9NOV91 numbness & tingling lower extremities; 10NOV91 could no longer stand; arms have movement but weak;grasp weak, vomiting, muscular pain, some difficulty swallowing;
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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=36611&WAYBACKHISTORY=ON
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