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This is VAERS ID 41594

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 41594
VAERS Form:
Age:67.7
Sex:Female
Location:Oregon
Vaccinated:1991-11-21
Onset:1991-12-01
Submitted:1992-04-22
Entered:1992-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1991-1992 / PARKE-DAVIS 01481P / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, PARALYSIS, DYSPHAGIA

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS-plasmapharesis;


Changed on 12/8/2009

VAERS ID: 41594 Before After
VAERS Form:
Age:67.7
Sex:Female
Location:Oregon
Vaccinated:1991-11-21
Onset:1991-12-01
Submitted:1992-04-22
Entered:1992-05-06 1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1991-1992 INFLUENZA (SEASONAL) (FLUOGEN 91-92) / PARKE-DAVIS 01481P / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis, GUILLAIN BARRE SYND, PARALYSIS, DYSPHAGIA

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS-plasmapharesis;


Changed on 8/31/2010

VAERS ID: 41594 Before After
VAERS Form:
Age:67.7
Sex:Female
Location:Oregon
Vaccinated:1991-11-21
Onset:1991-12-01
Submitted:1992-04-22
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 91-92) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS-plasmapharesis;


Changed on 7/7/2013

VAERS ID: 41594 Before After
VAERS Form:
Age:67.7
Sex:Female
Location:Oregon
Vaccinated:1991-11-21
Onset:1991-12-01
Submitted:1992-04-22
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 0 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS-plasmapharesis;


Changed on 2/14/2017

VAERS ID: 41594 Before After
VAERS Form:
Age:67.7 67.0
Sex:Female
Location:Oregon
Vaccinated:1991-11-21
Onset:1991-12-01
Submitted:1992-04-22
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS-plasmapharesis;


Changed on 5/14/2017

VAERS ID: 41594 Before After
VAERS Form:
Age:67.0
Sex:Female
Location:Oregon
Vaccinated:1991-11-21
Onset:1991-12-01
Submitted:1992-04-22
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS-plasmapharesis;


Changed on 9/14/2017

VAERS ID: 41594 Before After
VAERS Form:(blank) 1
Age:67.0
Sex:Female
Location:Oregon
Vaccinated:1991-11-21
Onset:1991-12-01
Submitted:1992-04-22
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 0 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS-plasmapharesis;


Changed on 2/14/2018

VAERS ID: 41594 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Oregon
Vaccinated:1991-11-21
Onset:1991-12-01
Submitted:1992-04-22
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS-plasmapharesis;


Changed on 6/14/2018

VAERS ID: 41594 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Oregon
Vaccinated:1991-11-21
Onset:1991-12-01
Submitted:1992-04-22
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS-plasmapharesis;


Changed on 8/14/2018

VAERS ID: 41594 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Oregon
Vaccinated:1991-11-21
Onset:1991-12-01
Submitted:1992-04-22
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS-plasmapharesis;


Changed on 9/14/2018

VAERS ID: 41594 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Oregon
Vaccinated:1991-11-21
Onset:1991-12-01
Submitted:1992-04-22
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS-plasmapharesis;


Changed on 10/14/2018

VAERS ID: 41594 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Oregon
Vaccinated:1991-11-21
Onset:1991-12-01
Submitted:1992-04-22
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01481P / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dysphagia, Guillain-Barre syndrome, Paralysis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS-plasmapharesis;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=41594&WAYBACKHISTORY=ON


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