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This is VAERS ID 43188

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 43188
VAERS Form:
Age:40.0
Sex:Male
Location:Unknown
Vaccinated:1991-10-01
Onset:1991-10-01
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 1J21118 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: NEURITIS, MYOSITIS

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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: post vax neuritis; post vax myositis lt deltoid muscle;


Changed on 12/8/2009

VAERS ID: 43188 Before After
VAERS Form:
Age:40.0
Sex:Male
Location:Unknown
Vaccinated:1991-10-01
Onset:1991-10-01
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABS CONNAUGHT LABORATORIES 1J21118 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myositis, Neuritis, NEURITIS, MYOSITIS

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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: post vax neuritis; post vax myositis lt deltoid muscle;


Changed on 8/31/2010

VAERS ID: 43188 Before After
VAERS Form:
Age:40.0
Sex:Male
Location:Unknown
Vaccinated:1991-10-01
Onset:1991-10-01
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21118 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myositis, Neuritis

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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: post vax neuritis; post vax myositis lt deltoid muscle;


Changed on 7/7/2013

VAERS ID: 43188 Before After
VAERS Form:
Age:40.0
Sex:Male
Location:Unknown
Vaccinated:1991-10-01
Onset:1991-10-01
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21118 / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21118 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myositis, Neuritis

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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: post vax neuritis; post vax myositis lt deltoid muscle;


Changed on 5/14/2017

VAERS ID: 43188 Before After
VAERS Form:
Age:40.0
Sex:Male
Location:Unknown
Vaccinated:1991-10-01
Onset:1991-10-01
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21118 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myositis, Neuritis

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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: post vax neuritis; post vax myositis lt deltoid muscle;


Changed on 9/14/2017

VAERS ID: 43188 Before After
VAERS Form:(blank) 1
Age:40.0
Sex:Male
Location:Unknown
Vaccinated:1991-10-01
Onset:1991-10-01
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21118 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myositis, Neuritis

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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: post vax neuritis; post vax myositis lt deltoid muscle;


Changed on 2/14/2018

VAERS ID: 43188 Before After
VAERS Form:1
Age:40.0
Sex:Male
Location:Unknown
Vaccinated:1991-10-01
Onset:1991-10-01
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21118 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myositis, Neuritis

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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: post vax neuritis; post vax myositis lt deltoid muscle;


Changed on 6/14/2018

VAERS ID: 43188 Before After
VAERS Form:1
Age:40.0
Sex:Male
Location:Unknown
Vaccinated:1991-10-01
Onset:1991-10-01
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21118 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myositis, Neuritis

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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: post vax neuritis; post vax myositis lt deltoid muscle;


Changed on 8/14/2018

VAERS ID: 43188 Before After
VAERS Form:1
Age:40.0
Sex:Male
Location:Unknown
Vaccinated:1991-10-01
Onset:1991-10-01
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21118 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myositis, Neuritis

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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: post vax neuritis; post vax myositis lt deltoid muscle;


Changed on 9/14/2018

VAERS ID: 43188 Before After
VAERS Form:1
Age:40.0
Sex:Male
Location:Unknown
Vaccinated:1991-10-01
Onset:1991-10-01
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21118 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myositis, Neuritis

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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: post vax neuritis; post vax myositis lt deltoid muscle;


Changed on 10/14/2018

VAERS ID: 43188 Before After
VAERS Form:1
Age:40.0
Sex:Male
Location:Unknown
Vaccinated:1991-10-01
Onset:1991-10-01
Submitted:0000-00-00
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21118 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myositis, Neuritis

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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: post vax neuritis; post vax myositis lt deltoid muscle;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=43188&WAYBACKHISTORY=ON


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