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This is VAERS ID 417551

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History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2011

VAERS ID: 417551
VAERS Form:
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dysphagia, Muscle spasms

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


Changed on 4/13/2011

VAERS ID: 417551 Before After
VAERS Form:
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Acute respiratory failure, Alanine aminotransferase increased, Anaemia, Aspartate aminotransferase increased, Asthenia, Atrial fibrillation, Back pain, Blood creatine phosphokinase increased, Blood creatinine increased, Blood culture negative, Blood potassium increased, Blood urea increased, C-reactive protein increased, Cellulitis, Culture wound negative, Death, Dehydration, Depressed level of consciousness, Dysphagia, Electroencephalogram abnormal, Encephalopathy, Fibrin D dimer increased, Fracture, Haematocrit decreased, Haemodialysis, Haemoglobin decreased, Hyporeflexia, Leukocytosis, Lymphadenitis, Muscle spasms, Muscular weakness, Neuromyopathy, Nuclear magnetic resonance imaging abnormal, Pain, Pneumonia aspiration, Renal failure acute, Renal failure chronic, Renal tubular necrosis, Rhabdomyolysis, Sepsis, Septic shock, Tetanus, Ultrasound kidney normal, Urinary tract infection, Ventilation/perfusion scan abnormal, White blood cell count increased, Wound infection, General physical health deterioration, Parenteral nutrition, Musculoskeletal stiffness, Brain natriuretic peptide, Shift to the left, Blood alkaline phosphatase increased, Klebsiella infection, Renal impairment, Muscle contracture, Transfusion, Mechanical ventilation, Endotracheal intubation, Immunoglobulin therapy

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


Changed on 5/13/2011

VAERS ID: 417551 Before After
VAERS Form:
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Acute respiratory failure, Alanine aminotransferase increased, Anaemia, Aspartate aminotransferase increased, Asthenia, Atrial fibrillation, Back pain, Blood creatine phosphokinase increased, Blood creatinine increased, Blood culture negative, Blood potassium increased, Blood urea increased, C-reactive protein increased, Cellulitis, Culture wound negative, Death, Dehydration, Depressed level of consciousness, Dysphagia, Electroencephalogram abnormal, Encephalopathy, Fibrin D dimer increased, Fracture, Haematocrit decreased, Haemodialysis, Haemoglobin decreased, Hyporeflexia, Leukocytosis, Lymphadenitis, Muscle spasms, Muscular weakness, Neuromyopathy, Nuclear magnetic resonance imaging abnormal, Pain, Pneumonia aspiration, Renal failure acute, Renal failure chronic, Renal tubular necrosis, Rhabdomyolysis, Sepsis, Septic shock, Tetanus, Ultrasound kidney normal, Urinary tract infection, Ventilation/perfusion scan abnormal, White blood cell count increased, Wound infection, General physical health deterioration, Parenteral nutrition, Musculoskeletal stiffness, Brain natriuretic peptide, Shift to the left, Blood alkaline phosphatase increased, Klebsiella infection, Renal impairment, Muscle contracture, Transfusion, Mechanical ventilation, Endotracheal intubation, Immunoglobulin therapy

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


Changed on 9/14/2017

VAERS ID: 417551 Before After
VAERS Form:(blank) 1
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / - UNK LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dysphagia, Muscle spasms

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


Changed on 2/14/2018

VAERS ID: 417551 Before After
VAERS Form:1
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / UNK LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dysphagia, Muscle spasms

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


Changed on 6/14/2018

VAERS ID: 417551 Before After
VAERS Form:1
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / UNK LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dysphagia, Muscle spasms

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


Changed on 8/14/2018

VAERS ID: 417551 Before After
VAERS Form:1
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / UNK LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dysphagia, Muscle spasms

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


Changed on 9/14/2018

VAERS ID: 417551 Before After
VAERS Form:1
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / UNK LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dysphagia, Muscle spasms

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


Changed on 10/14/2018

VAERS ID: 417551 Before After
VAERS Form:1
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / UNK LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dysphagia, Muscle spasms

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


Changed on 12/24/2020

VAERS ID: 417551 Before After
VAERS Form:1
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / UNK LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dysphagia, Muscle spasms

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


Changed on 12/30/2020

VAERS ID: 417551 Before After
VAERS Form:1
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / UNK LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dysphagia, Muscle spasms

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


Changed on 5/7/2021

VAERS ID: 417551 Before After
VAERS Form:1
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / UNK LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dysphagia, Muscle spasms

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


Changed on 5/14/2021

VAERS ID: 417551 Before After
VAERS Form:1
Age:89.0
Sex:Female
Location:California
Vaccinated:2011-02-17
Onset:2011-02-19
Submitted:2011-02-24
Entered:2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / UNK LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dysphagia, Muscle spasms

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2011-02-26
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=417551&WAYBACKHISTORY=ON


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