National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 38092

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 38092
VAERS Form:
Age:44.3
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1991-1992 / WYETH 4918147 / 0 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, MYASTHENIA, FOOT DROP

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


Changed on 12/8/2009

VAERS ID: 38092 Before After
VAERS Form:
Age:44.3
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-24 1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1991-1992 INFLUENZA (SEASONAL) (NO BRAND NAME, 91-92) / WYETH WYETH PHARMACEUTICALS, INC 4918147 / 0 - / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy, GUILLAIN BARRE SYND, MYASTHENIA, FOOT DROP

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


Changed on 8/31/2010

VAERS ID: 38092 Before After
VAERS Form:
Age:44.3
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 91-92) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4918147 / 0 - / -

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


Changed on 7/7/2013

VAERS ID: 38092 Before After
VAERS Form:
Age:44.3
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 0 - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 0 - / -

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


Changed on 12/14/2016

VAERS ID: 38092 Before After
VAERS Form:
Age:44.3
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 0 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 0 - / -

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


Changed on 2/14/2017

VAERS ID: 38092 Before After
VAERS Form:
Age:44.3 44.0
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 0 - / -

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


Changed on 5/14/2017

VAERS ID: 38092 Before After
VAERS Form:
Age:44.0
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 0 - / -

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


Changed on 9/14/2017

VAERS ID: 38092 Before After
VAERS Form:(blank) 1
Age:44.0
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 0 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


Changed on 2/14/2018

VAERS ID: 38092 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


Changed on 6/14/2018

VAERS ID: 38092 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


Changed on 8/14/2018

VAERS ID: 38092 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


Changed on 9/14/2018

VAERS ID: 38092 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


Changed on 10/14/2018

VAERS ID: 38092 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Montana
Vaccinated:1991-10-31
Onset:1991-11-05
Submitted:1991-11-26
Entered:1991-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Myasthenic syndrome, Peroneal nerve palsy

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 891331002J

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=38092&WAYBACKHISTORY=ON


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