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This is VAERS ID 43061

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 43061
VAERS Form:
Age:84.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-11-04
Submitted:0000-00-00
Entered:1992-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: HYPOKINESIA, PAIN ABDO, PAIN, ASTHENIA, REACT AGGRAV

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:
Current Illness:
Preexisting Conditions: MD eval w/radiograph of the hips disclosed; no alternative explanation;
Allergies:
Diagnostic Lab Data: weakness was continues to be symmetric;
CDC 'Split Type':

Write-up: aching through abdomen, crampy in nature, followed by/or ocncurrent w/pain in both hips, weakness began w/pain & ocntinued thereafter; inability to get up & down as well since indicative of persistence of weakness; sciatica 2 wks later;


Changed on 12/8/2009

VAERS ID: 43061 Before After
VAERS Form:
Age:84.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-11-04
Submitted:0000-00-00
Entered:1992-06-23 1992-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Condition aggravated, Hypokinesia, Pain, HYPOKINESIA, PAIN ABDO, PAIN, ASTHENIA, REACT AGGRAV

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:
Current Illness:
Preexisting Conditions: MD eval w/radiograph of the hips disclosed; no alternative explanation;
Allergies:
Diagnostic Lab Data: weakness was continues to be symmetric;
CDC 'Split Type':

Write-up: aching through abdomen, crampy in nature, followed by/or ocncurrent w/pain in both hips, weakness began w/pain & ocntinued thereafter; inability to get up & down as well since indicative of persistence of weakness; sciatica 2 wks later;


Changed on 7/7/2013

VAERS ID: 43061 Before After
VAERS Form:
Age:84.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-11-04
Submitted:0000-00-00
Entered:1992-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Condition aggravated, Hypokinesia, Pain

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:
Current Illness:
Preexisting Conditions: MD eval w/radiograph of the hips disclosed; no alternative explanation;
Allergies:
Diagnostic Lab Data: weakness was continues to be symmetric;
CDC 'Split Type':

Write-up: aching through abdomen, crampy in nature, followed by/or ocncurrent w/pain in both hips, weakness began w/pain & ocntinued thereafter; inability to get up & down as well since indicative of persistence of weakness; sciatica 2 wks later;


Changed on 12/14/2016

VAERS ID: 43061 Before After
VAERS Form:
Age:84.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-11-04
Submitted:0000-00-00
Entered:1992-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Condition aggravated, Hypokinesia, Pain

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:
Current Illness:
Preexisting Conditions: MD eval w/radiograph of the hips disclosed; no alternative explanation;
Allergies:
Diagnostic Lab Data: weakness was continues to be symmetric;
CDC 'Split Type':

Write-up: aching through abdomen, crampy in nature, followed by/or ocncurrent w/pain in both hips, weakness began w/pain & ocntinued thereafter; inability to get up & down as well since indicative of persistence of weakness; sciatica 2 wks later;


Changed on 5/14/2017

VAERS ID: 43061 Before After
VAERS Form:
Age:84.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-11-04
Submitted:0000-00-00
Entered:1992-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Condition aggravated, Hypokinesia, Pain

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:
Current Illness:
Preexisting Conditions: MD eval w/radiograph of the hips disclosed; no alternative explanation;
Allergies:
Diagnostic Lab Data: weakness was continues to be symmetric;
CDC 'Split Type':

Write-up: aching through abdomen, crampy in nature, followed by/or ocncurrent w/pain in both hips, weakness began w/pain & ocntinued thereafter; inability to get up & down as well since indicative of persistence of weakness; sciatica 2 wks later;


Changed on 9/14/2017

VAERS ID: 43061 Before After
VAERS Form:(blank) 1
Age:84.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-11-04
Submitted:0000-00-00
Entered:1992-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Condition aggravated, Hypokinesia, Pain

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:
Current Illness:
Preexisting Conditions: MD eval w/radiograph of the hips disclosed; no alternative explanation;
Allergies:
Diagnostic Lab Data: weakness was continues to be symmetric;
CDC 'Split Type':

Write-up: aching through abdomen, crampy in nature, followed by/or ocncurrent w/pain in both hips, weakness began w/pain & ocntinued thereafter; inability to get up & down as well since indicative of persistence of weakness; sciatica 2 wks later;


Changed on 2/14/2018

VAERS ID: 43061 Before After
VAERS Form:1
Age:84.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-11-04
Submitted:0000-00-00
Entered:1992-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Condition aggravated, Hypokinesia, Pain

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:
Current Illness:
Preexisting Conditions: MD eval w/radiograph of the hips disclosed; no alternative explanation;
Allergies:
Diagnostic Lab Data: weakness was continues to be symmetric;
CDC 'Split Type':

Write-up: aching through abdomen, crampy in nature, followed by/or ocncurrent w/pain in both hips, weakness began w/pain & ocntinued thereafter; inability to get up & down as well since indicative of persistence of weakness; sciatica 2 wks later;


Changed on 6/14/2018

VAERS ID: 43061 Before After
VAERS Form:1
Age:84.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-11-04
Submitted:0000-00-00
Entered:1992-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Condition aggravated, Hypokinesia, Pain

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:
Current Illness:
Preexisting Conditions: MD eval w/radiograph of the hips disclosed; no alternative explanation;
Allergies:
Diagnostic Lab Data: weakness was continues to be symmetric;
CDC 'Split Type':

Write-up: aching through abdomen, crampy in nature, followed by/or ocncurrent w/pain in both hips, weakness began w/pain & ocntinued thereafter; inability to get up & down as well since indicative of persistence of weakness; sciatica 2 wks later;


Changed on 8/14/2018

VAERS ID: 43061 Before After
VAERS Form:1
Age:84.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-11-04
Submitted:0000-00-00
Entered:1992-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Condition aggravated, Hypokinesia, Pain

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:
Current Illness:
Preexisting Conditions: MD eval w/radiograph of the hips disclosed; no alternative explanation;
Allergies:
Diagnostic Lab Data: weakness was continues to be symmetric;
CDC 'Split Type':

Write-up: aching through abdomen, crampy in nature, followed by/or ocncurrent w/pain in both hips, weakness began w/pain & ocntinued thereafter; inability to get up & down as well since indicative of persistence of weakness; sciatica 2 wks later;


Changed on 9/14/2018

VAERS ID: 43061 Before After
VAERS Form:1
Age:84.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-11-04
Submitted:0000-00-00
Entered:1992-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Condition aggravated, Hypokinesia, Pain

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:
Current Illness:
Preexisting Conditions: MD eval w/radiograph of the hips disclosed; no alternative explanation;
Allergies:
Diagnostic Lab Data: weakness was continues to be symmetric;
CDC 'Split Type':

Write-up: aching through abdomen, crampy in nature, followed by/or ocncurrent w/pain in both hips, weakness began w/pain & ocntinued thereafter; inability to get up & down as well since indicative of persistence of weakness; sciatica 2 wks later;


Changed on 10/14/2018

VAERS ID: 43061 Before After
VAERS Form:1
Age:84.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-11-04
Submitted:0000-00-00
Entered:1992-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Condition aggravated, Hypokinesia, Pain

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:
Current Illness:
Preexisting Conditions: MD eval w/radiograph of the hips disclosed; no alternative explanation;
Allergies:
Diagnostic Lab Data: weakness was continues to be symmetric;
CDC 'Split Type':

Write-up: aching through abdomen, crampy in nature, followed by/or ocncurrent w/pain in both hips, weakness began w/pain & ocntinued thereafter; inability to get up & down as well since indicative of persistence of weakness; sciatica 2 wks later;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=43061&WAYBACKHISTORY=ON


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