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This is VAERS ID 42008

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 42008
VAERS Form:
Age:62.5
Sex:Female
Location:Texas
Vaccinated:1991-10-29
Onset:1991-10-30
Submitted:1992-05-04
Entered:1992-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: HYPOKINESIA, PAIN INJECT SITE, EDEMA, MYALGIA, PAIN

Life Threatening? No
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? No
Previous Vaccinations: NA
Other Medications: Levathroid; Anacin
Current Illness:
Preexisting Conditions: Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type': Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl

Write-up: Extreme tenderness in area of flu shot; soreness & tenderness & later sweling by 11JAN92 arm mobility way down & discomfort very high; pt went to MD then referred to specialist 29JAN92 w/same sx as 11JAN92 & in between; tedonitis;


Changed on 12/8/2009

VAERS ID: 42008 Before After
VAERS Form:
Age:62.5
Sex:Female
Location:Texas
Vaccinated:1991-10-29
Onset:1991-10-30
Submitted:1992-05-04
Entered:1992-05-19 1992-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain, Myalgia, Oedema, Pain, Tendon disorder, HYPOKINESIA, PAIN INJECT SITE, EDEMA, MYALGIA, PAIN

Life Threatening? No
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? No
Previous Vaccinations: NA
Other Medications: Levathroid; Anacin
Current Illness:
Preexisting Conditions: Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type': Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl (blank)

Write-up: Extreme tenderness in area of flu shot; soreness & tenderness & later sweling by 11JAN92 arm mobility way down & discomfort very high; pt went to MD then referred to specialist 29JAN92 w/same sx as 11JAN92 & in between; tedonitis;


Changed on 7/7/2013

VAERS ID: 42008 Before After
VAERS Form:
Age:62.5
Sex:Female
Location:Texas
Vaccinated:1991-10-29
Onset:1991-10-30
Submitted:1992-05-04
Entered:1992-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain, Myalgia, Oedema, Pain, Tendon disorder

Life Threatening? No
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? No
Previous Vaccinations: NA
Other Medications: Levathroid; Anacin
Current Illness:
Preexisting Conditions: Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Extreme tenderness in area of flu shot; soreness & tenderness & later sweling by 11JAN92 arm mobility way down & discomfort very high; pt went to MD then referred to specialist 29JAN92 w/same sx as 11JAN92 & in between; tedonitis;


Changed on 12/14/2016

VAERS ID: 42008 Before After
VAERS Form:
Age:62.5
Sex:Female
Location:Texas
Vaccinated:1991-10-29
Onset:1991-10-30
Submitted:1992-05-04
Entered:1992-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain, Myalgia, Oedema, Pain, Tendon disorder

Life Threatening? No
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? No
Previous Vaccinations: NA
Other Medications: Levathroid; Anacin
Current Illness:
Preexisting Conditions: Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Extreme tenderness in area of flu shot; soreness & tenderness & later sweling by 11JAN92 arm mobility way down & discomfort very high; pt went to MD then referred to specialist 29JAN92 w/same sx as 11JAN92 & in between; tedonitis;


Changed on 2/14/2017

VAERS ID: 42008 Before After
VAERS Form:
Age:62.5 62.0
Sex:Female
Location:Texas
Vaccinated:1991-10-29
Onset:1991-10-30
Submitted:1992-05-04
Entered:1992-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain, Myalgia, Oedema, Pain, Tendon disorder

Life Threatening? No
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? No
Previous Vaccinations: NA
Other Medications: Levathroid; Anacin
Current Illness:
Preexisting Conditions: Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Extreme tenderness in area of flu shot; soreness & tenderness & later sweling by 11JAN92 arm mobility way down & discomfort very high; pt went to MD then referred to specialist 29JAN92 w/same sx as 11JAN92 & in between; tedonitis;


Changed on 5/14/2017

VAERS ID: 42008 Before After
VAERS Form:
Age:62.0
Sex:Female
Location:Texas
Vaccinated:1991-10-29
Onset:1991-10-30
Submitted:1992-05-04
Entered:1992-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain, Myalgia, Oedema, Pain, Tendon disorder

Life Threatening? No
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? No
Previous Vaccinations: NA NA~ ()~~~In patient
Other Medications: Levathroid; Anacin
Current Illness:
Preexisting Conditions: Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Extreme tenderness in area of flu shot; soreness & tenderness & later sweling by 11JAN92 arm mobility way down & discomfort very high; pt went to MD then referred to specialist 29JAN92 w/same sx as 11JAN92 & in between; tedonitis;


Changed on 9/14/2017

VAERS ID: 42008 Before After
VAERS Form:(blank) 1
Age:62.0
Sex:Female
Location:Texas
Vaccinated:1991-10-29
Onset:1991-10-30
Submitted:1992-05-04
Entered:1992-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain, Myalgia, Oedema, Pain, Tendon disorder

Life Threatening? No
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? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: Levathroid; Anacin
Current Illness:
Preexisting Conditions: Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Extreme tenderness in area of flu shot; soreness & tenderness & later sweling by 11JAN92 arm mobility way down & discomfort very high; pt went to MD then referred to specialist 29JAN92 w/same sx as 11JAN92 & in between; tedonitis;


Changed on 2/14/2018

VAERS ID: 42008 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Texas
Vaccinated:1991-10-29
Onset:1991-10-30
Submitted:1992-05-04
Entered:1992-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain, Myalgia, Oedema, Pain, Tendon disorder

Life Threatening? No
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? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: Levathroid; Anacin
Current Illness:
Preexisting Conditions: Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Extreme tenderness in area of flu shot; soreness & tenderness & later sweling by 11JAN92 arm mobility way down & discomfort very high; pt went to MD then referred to specialist 29JAN92 w/same sx as 11JAN92 & in between; tedonitis;


Changed on 6/14/2018

VAERS ID: 42008 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Texas
Vaccinated:1991-10-29
Onset:1991-10-30
Submitted:1992-05-04
Entered:1992-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain, Myalgia, Oedema, Pain, Tendon disorder

Life Threatening? No
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? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: Levathroid; Anacin
Current Illness:
Preexisting Conditions: Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Extreme tenderness in area of flu shot; soreness & tenderness & later sweling by 11JAN92 arm mobility way down & discomfort very high; pt went to MD then referred to specialist 29JAN92 w/same sx as 11JAN92 & in between; tedonitis;


Changed on 8/14/2018

VAERS ID: 42008 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Texas
Vaccinated:1991-10-29
Onset:1991-10-30
Submitted:1992-05-04
Entered:1992-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain, Myalgia, Oedema, Pain, Tendon disorder

Life Threatening? No
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? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: Levathroid; Anacin
Current Illness:
Preexisting Conditions: Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Extreme tenderness in area of flu shot; soreness & tenderness & later sweling by 11JAN92 arm mobility way down & discomfort very high; pt went to MD then referred to specialist 29JAN92 w/same sx as 11JAN92 & in between; tedonitis;


Changed on 9/14/2018

VAERS ID: 42008 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Texas
Vaccinated:1991-10-29
Onset:1991-10-30
Submitted:1992-05-04
Entered:1992-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain, Myalgia, Oedema, Pain, Tendon disorder

Life Threatening? No
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? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: Levathroid; Anacin
Current Illness:
Preexisting Conditions: Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Extreme tenderness in area of flu shot; soreness & tenderness & later sweling by 11JAN92 arm mobility way down & discomfort very high; pt went to MD then referred to specialist 29JAN92 w/same sx as 11JAN92 & in between; tedonitis;


Changed on 10/14/2018

VAERS ID: 42008 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Texas
Vaccinated:1991-10-29
Onset:1991-10-30
Submitted:1992-05-04
Entered:1992-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain, Myalgia, Oedema, Pain, Tendon disorder

Life Threatening? No
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? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: Levathroid; Anacin
Current Illness:
Preexisting Conditions: Hypothyroidism offset by Levathroid & rxn to antib''s given for recurring bladder infects; hypereosinophilia w/tx for hypothyroidism EOS levels went back to nl
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Extreme tenderness in area of flu shot; soreness & tenderness & later sweling by 11JAN92 arm mobility way down & discomfort very high; pt went to MD then referred to specialist 29JAN92 w/same sx as 11JAN92 & in between; tedonitis;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=42008&WAYBACKHISTORY=ON


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