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This is VAERS ID 38091

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 38091
VAERS Form:
Age:35.0
Sex:Male
Location:Florida
Vaccinated:1989-10-17
Onset:0000-00-00
Submitted:1991-11-26
Entered:1991-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B / WYETH - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: FLU SYND, 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: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;


Changed on 12/8/2009

VAERS ID: 38091 Before After
VAERS Form:
Age:35.0
Sex:Male
Location:Florida
Vaccinated:1989-10-17
Onset:0000-00-00
Submitted:1991-11-26
Entered:1991-12-24 1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B INFLUENZA (SEASONAL) (NO BRAND NAME, 89-90) / WYETH WYETH PHARMACEUTICALS, INC - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Influenza, Paralysis, FLU SYND, 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: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 891344001H

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;


Changed on 8/31/2010

VAERS ID: 38091 Before After
VAERS Form:
Age:35.0
Sex:Male
Location:Florida
Vaccinated:1989-10-17
Onset:0000-00-00
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 89-90) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza, 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: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891344001H

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;


Changed on 7/7/2013

VAERS ID: 38091 Before After
VAERS Form:
Age:35.0
Sex:Male
Location:Florida
Vaccinated:1989-10-17
Onset:0000-00-00
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza, 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: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891344001H

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;


Changed on 12/14/2016

VAERS ID: 38091 Before After
VAERS Form:
Age:35.0
Sex:Male
Location:Florida
Vaccinated:1989-10-17
Onset:0000-00-00
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza, 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: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891344001H

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;


Changed on 5/14/2017

VAERS ID: 38091 Before After
VAERS Form:
Age:35.0
Sex:Male
Location:Florida
Vaccinated:1989-10-17
Onset:0000-00-00
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza, 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: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891344001H

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;


Changed on 9/14/2017

VAERS ID: 38091 Before After
VAERS Form:(blank) 1
Age:35.0
Sex:Male
Location:Florida
Vaccinated:1989-10-17
Onset:0000-00-00
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza, 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: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891344001H

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;


Changed on 2/14/2018

VAERS ID: 38091 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:Florida
Vaccinated:1989-10-17
Onset:0000-00-00
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza, 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: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891344001H

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;


Changed on 6/14/2018

VAERS ID: 38091 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:Florida
Vaccinated:1989-10-17
Onset:0000-00-00
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza, 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: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891344001H

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;


Changed on 8/14/2018

VAERS ID: 38091 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:Florida
Vaccinated:1989-10-17
Onset:0000-00-00
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza, 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: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891344001H

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;


Changed on 9/14/2018

VAERS ID: 38091 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:Florida
Vaccinated:1989-10-17
Onset:0000-00-00
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza, 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: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891344001H

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;


Changed on 10/14/2018

VAERS ID: 38091 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:Florida
Vaccinated:1989-10-17
Onset:0000-00-00
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza, 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: UNK
Current Illness: flu-like sx 1wk prior to vax
Preexisting Conditions: pt may have had a prior hx of GBS and/or polio; allegedly, was unable to ambulate from age 13;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891344001H

Write-up: Approx 1wk prior to receiving flu vax pt exp flu-like sx; approx 10 days to two wks p/receiving the flu vax pt again again began exp flu-like sx which progressed to total paralysis;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=38091&WAYBACKHISTORY=ON


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