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This is VAERS ID 39778

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 39778
VAERS Form:
Age:
Sex:Female
Location:Florida
Vaccinated:1991-01-26
Onset:1991-02-01
Submitted:1992-02-10
Entered:1992-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1991-1992 / WYETH - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, FLU SYND, ASTHENIA

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;


Changed on 12/8/2009

VAERS ID: 39778 Before After
VAERS Form:
Age:
Sex:Female
Location:Florida
Vaccinated:1991-01-26
Onset:1991-02-01
Submitted:1992-02-10
Entered:1992-03-05 1992-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1991-1992 INFLUENZA (SEASONAL) (NO BRAND NAME, 91-92) / WYETH WYETH PHARMACEUTICALS, INC - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Asthenia, Guillain-Barre syndrome, Influenza, GUILLAIN BARRE SYND, FLU SYND, ASTHENIA

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 892045001L

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;


Changed on 8/31/2010

VAERS ID: 39778 Before After
VAERS Form:
Age:
Sex:Female
Location:Florida
Vaccinated:1991-01-26
Onset:1991-02-01
Submitted:1992-02-10
Entered:1992-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 91-92) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Guillain-Barre syndrome, Influenza

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892045001L

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;


Changed on 7/7/2013

VAERS ID: 39778 Before After
VAERS Form:
Age:
Sex:Female
Location:Florida
Vaccinated:1991-01-26
Onset:1991-02-01
Submitted:1992-02-10
Entered:1992-03-04
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: Asthenia, Guillain-Barre syndrome, Influenza

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892045001L

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;


Changed on 12/14/2016

VAERS ID: 39778 Before After
VAERS Form:
Age:
Sex:Female
Location:Florida
Vaccinated:1991-01-26
Onset:1991-02-01
Submitted:1992-02-10
Entered:1992-03-04
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: Asthenia, Guillain-Barre syndrome, Influenza

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892045001L

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;


Changed on 5/14/2017

VAERS ID: 39778 Before After
VAERS Form:
Age:
Sex:Female
Location:Florida
Vaccinated:1991-01-26
Onset:1991-02-01
Submitted:1992-02-10
Entered:1992-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Guillain-Barre syndrome, Influenza

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892045001L

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;


Changed on 9/14/2017

VAERS ID: 39778 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Florida
Vaccinated:1991-01-26
Onset:1991-02-01
Submitted:1992-02-10
Entered:1992-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Guillain-Barre syndrome, Influenza

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892045001L

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;


Changed on 2/14/2018

VAERS ID: 39778 Before After
VAERS Form:1
Age:
Sex:Female
Location:Florida
Vaccinated:1991-01-26
Onset:1991-02-01
Submitted:1992-02-10
Entered:1992-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Guillain-Barre syndrome, Influenza

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892045001L

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;


Changed on 6/14/2018

VAERS ID: 39778 Before After
VAERS Form:1
Age:
Sex:Female
Location:Florida
Vaccinated:1991-01-26
Onset:1991-02-01
Submitted:1992-02-10
Entered:1992-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Guillain-Barre syndrome, Influenza

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892045001L

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;


Changed on 8/14/2018

VAERS ID: 39778 Before After
VAERS Form:1
Age:
Sex:Female
Location:Florida
Vaccinated:1991-01-26
Onset:1991-02-01
Submitted:1992-02-10
Entered:1992-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Guillain-Barre syndrome, Influenza

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892045001L

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;


Changed on 9/14/2018

VAERS ID: 39778 Before After
VAERS Form:1
Age:
Sex:Female
Location:Florida
Vaccinated:1991-01-26
Onset:1991-02-01
Submitted:1992-02-10
Entered:1992-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Guillain-Barre syndrome, Influenza

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892045001L

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;


Changed on 10/14/2018

VAERS ID: 39778 Before After
VAERS Form:1
Age:
Sex:Female
Location:Florida
Vaccinated:1991-01-26
Onset:1991-02-01
Submitted:1992-02-10
Entered:1992-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Guillain-Barre syndrome, Influenza

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: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892045001L

Write-up: Pt began exp flu-like sx approx 1 mo p/flu vax; sx progressed, & pt sought med tx on 14MAR91; pt dx GBS secondary to flu vax; pt unable to return to work due to residual weakness & fatigue;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=39778&WAYBACKHISTORY=ON


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