National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 37846

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 37846
VAERS Form:
Age:77.7
Sex:Male
Location:Arizona
Vaccinated:1991-10-18
Onset:1991-11-14
Submitted:1991-12-03
Entered:1991-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1991-1992 / CONNAUGHT LABS 1F21209 / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: PARALYSIS

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations:
Other Medications: Procardia, Ascriptin
Current Illness: NONE
Preexisting Conditions: previous hx brainstomy tia w/flaccid FEB91
Allergies:
Diagnostic Lab Data: MRI Scan-neg; LP-normal; NCV loss of F waves, slowing;
CDC 'Split Type':

Write-up: 3 wks post inject pt devel paralysis;


Changed on 12/8/2009

VAERS ID: 37846 Before After
VAERS Form:
Age:77.7
Sex:Male
Location:Arizona
Vaccinated:1991-10-18
Onset:1991-11-14
Submitted:1991-12-03
Entered:1991-12-12 1991-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1991-1992 INFLUENZA (SEASONAL) (FLUZONE 91-92) / CONNAUGHT LABS CONNAUGHT LABORATORIES 1F21209 / 0 - / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Paralysis, PARALYSIS

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations:
Other Medications: Procardia, Ascriptin
Current Illness: NONE
Preexisting Conditions: previous hx brainstomy tia w/flaccid FEB91
Allergies:
Diagnostic Lab Data: MRI Scan-neg; LP-normal; NCV loss of F waves, slowing;
CDC 'Split Type':

Write-up: 3 wks post inject pt devel paralysis;


Changed on 8/31/2010

VAERS ID: 37846 Before After
VAERS Form:
Age:77.7
Sex:Male
Location:Arizona
Vaccinated:1991-10-18
Onset:1991-11-14
Submitted:1991-12-03
Entered:1991-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 91-92) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 0 - / IM

Administered by: Private      Purchased by: Public
Symptoms: Paralysis

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations:
Other Medications: Procardia, Ascriptin
Current Illness: NONE
Preexisting Conditions: previous hx brainstomy tia w/flaccid FEB91
Allergies:
Diagnostic Lab Data: MRI Scan-neg; LP-normal; NCV loss of F waves, slowing;
CDC 'Split Type':

Write-up: 3 wks post inject pt devel paralysis;


Changed on 7/7/2013

VAERS ID: 37846 Before After
VAERS Form:
Age:77.7
Sex:Male
Location:Arizona
Vaccinated:1991-10-18
Onset:1991-11-14
Submitted:1991-12-03
Entered:1991-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 0 - / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 0 - / IM

Administered by: Private      Purchased by: Public
Symptoms: Paralysis

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations:
Other Medications: Procardia, Ascriptin
Current Illness: NONE
Preexisting Conditions: previous hx brainstomy tia w/flaccid FEB91
Allergies:
Diagnostic Lab Data: MRI Scan-neg; LP-normal; NCV loss of F waves, slowing;
CDC 'Split Type':

Write-up: 3 wks post inject pt devel paralysis;


Changed on 2/14/2017

VAERS ID: 37846 Before After
VAERS Form:
Age:77.7 77.0
Sex:Male
Location:Arizona
Vaccinated:1991-10-18
Onset:1991-11-14
Submitted:1991-12-03
Entered:1991-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 0 - / IM

Administered by: Private      Purchased by: Public
Symptoms: Paralysis

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations:
Other Medications: Procardia, Ascriptin
Current Illness: NONE
Preexisting Conditions: previous hx brainstomy tia w/flaccid FEB91
Allergies:
Diagnostic Lab Data: MRI Scan-neg; LP-normal; NCV loss of F waves, slowing;
CDC 'Split Type':

Write-up: 3 wks post inject pt devel paralysis;


Changed on 5/14/2017

VAERS ID: 37846 Before After
VAERS Form:
Age:77.0
Sex:Male
Location:Arizona
Vaccinated:1991-10-18
Onset:1991-11-14
Submitted:1991-12-03
Entered:1991-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 0 - / IM

Administered by: Private      Purchased by: Public
Symptoms: Paralysis

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Procardia, Ascriptin
Current Illness: NONE
Preexisting Conditions: previous hx brainstomy tia w/flaccid FEB91
Allergies:
Diagnostic Lab Data: MRI Scan-neg; LP-normal; NCV loss of F waves, slowing;
CDC 'Split Type':

Write-up: 3 wks post inject pt devel paralysis;


Changed on 9/14/2017

VAERS ID: 37846 Before After
VAERS Form:(blank) 1
Age:77.0
Sex:Male
Location:Arizona
Vaccinated:1991-10-18
Onset:1991-11-14
Submitted:1991-12-03
Entered:1991-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 0 1 - / IM

Administered by: Private      Purchased by: Public
Symptoms: Paralysis

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Procardia, Ascriptin
Current Illness: NONE
Preexisting Conditions: previous hx brainstomy tia w/flaccid FEB91
Allergies:
Diagnostic Lab Data: MRI Scan-neg; LP-normal; NCV loss of F waves, slowing;
CDC 'Split Type':

Write-up: 3 wks post inject pt devel paralysis;


Changed on 2/14/2018

VAERS ID: 37846 Before After
VAERS Form:1
Age:77.0
Sex:Male
Location:Arizona
Vaccinated:1991-10-18
Onset:1991-11-14
Submitted:1991-12-03
Entered:1991-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 1 - / IM

Administered by: Private      Purchased by: Public
Symptoms: Paralysis

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Procardia, Ascriptin
Current Illness: NONE
Preexisting Conditions: previous hx brainstomy tia w/flaccid FEB91
Allergies:
Diagnostic Lab Data: MRI Scan-neg; LP-normal; NCV loss of F waves, slowing;
CDC 'Split Type':

Write-up: 3 wks post inject pt devel paralysis;


Changed on 6/14/2018

VAERS ID: 37846 Before After
VAERS Form:1
Age:77.0
Sex:Male
Location:Arizona
Vaccinated:1991-10-18
Onset:1991-11-14
Submitted:1991-12-03
Entered:1991-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 1 - / IM

Administered by: Private      Purchased by: Public
Symptoms: Paralysis

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Procardia, Ascriptin
Current Illness: NONE
Preexisting Conditions: previous hx brainstomy tia w/flaccid FEB91
Allergies:
Diagnostic Lab Data: MRI Scan-neg; LP-normal; NCV loss of F waves, slowing;
CDC 'Split Type':

Write-up: 3 wks post inject pt devel paralysis;


Changed on 8/14/2018

VAERS ID: 37846 Before After
VAERS Form:1
Age:77.0
Sex:Male
Location:Arizona
Vaccinated:1991-10-18
Onset:1991-11-14
Submitted:1991-12-03
Entered:1991-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 1 - / IM

Administered by: Private      Purchased by: Public
Symptoms: Paralysis

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Procardia, Ascriptin
Current Illness: NONE
Preexisting Conditions: previous hx brainstomy tia w/flaccid FEB91
Allergies:
Diagnostic Lab Data: MRI Scan-neg; LP-normal; NCV loss of F waves, slowing;
CDC 'Split Type':

Write-up: 3 wks post inject pt devel paralysis;


Changed on 9/14/2018

VAERS ID: 37846 Before After
VAERS Form:1
Age:77.0
Sex:Male
Location:Arizona
Vaccinated:1991-10-18
Onset:1991-11-14
Submitted:1991-12-03
Entered:1991-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 1 - / IM

Administered by: Private      Purchased by: Public
Symptoms: Paralysis

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Procardia, Ascriptin
Current Illness: NONE
Preexisting Conditions: previous hx brainstomy tia w/flaccid FEB91
Allergies:
Diagnostic Lab Data: MRI Scan-neg; LP-normal; NCV loss of F waves, slowing;
CDC 'Split Type':

Write-up: 3 wks post inject pt devel paralysis;


Changed on 10/14/2018

VAERS ID: 37846 Before After
VAERS Form:1
Age:77.0
Sex:Male
Location:Arizona
Vaccinated:1991-10-18
Onset:1991-11-14
Submitted:1991-12-03
Entered:1991-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 1 - / IM

Administered by: Private      Purchased by: Public
Symptoms: Paralysis

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Procardia, Ascriptin
Current Illness: NONE
Preexisting Conditions: previous hx brainstomy tia w/flaccid FEB91
Allergies:
Diagnostic Lab Data: MRI Scan-neg; LP-normal; NCV loss of F waves, slowing;
CDC 'Split Type':

Write-up: 3 wks post inject pt devel paralysis;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=37846&WAYBACKHISTORY=ON


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