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This is VAERS ID 43888

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 43888
VAERS Form:
Age:35.5
Sex:Female
Location:Michigan
Vaccinated:1990-10-19
Onset:1990-10-30
Submitted:1992-07-28
Entered:1992-08-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - LA / -

Administered by: Other      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: sore throat day of vax
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, LP;
CDC 'Split Type':

Write-up: Guillain-Barre synd;


Changed on 12/8/2009

VAERS ID: 43888 Before After
VAERS Form:
Age:35.5
Sex:Female
Location:Michigan
Vaccinated:1990-10-19
Onset:1990-10-30
Submitted:1992-07-28
Entered:1992-08-04 1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - LA / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Guillain-Barre syndrome, GUILLAIN BARRE SYND

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: sore throat day of vax
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, LP;
CDC 'Split Type':

Write-up: Guillain-Barre synd;


Changed on 7/7/2013

VAERS ID: 43888 Before After
VAERS Form:
Age:35.5
Sex:Female
Location:Michigan
Vaccinated:1990-10-19
Onset:1990-10-30
Submitted:1992-07-28
Entered:1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / -

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: sore throat day of vax
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, LP;
CDC 'Split Type':

Write-up: Guillain-Barre synd;


Changed on 12/14/2016

VAERS ID: 43888 Before After
VAERS Form:
Age:35.5
Sex:Female
Location:Michigan
Vaccinated:1990-10-19
Onset:1990-10-30
Submitted:1992-07-28
Entered:1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / -

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: sore throat day of vax
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, LP;
CDC 'Split Type':

Write-up: Guillain-Barre synd;


Changed on 2/14/2017

VAERS ID: 43888 Before After
VAERS Form:
Age:35.5 35.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-19
Onset:1990-10-30
Submitted:1992-07-28
Entered:1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / -

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: sore throat day of vax
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, LP;
CDC 'Split Type':

Write-up: Guillain-Barre synd;


Changed on 5/14/2017

VAERS ID: 43888 Before After
VAERS Form:
Age:35.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-19
Onset:1990-10-30
Submitted:1992-07-28
Entered:1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / -

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: sore throat day of vax
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, LP;
CDC 'Split Type':

Write-up: Guillain-Barre synd;


Changed on 9/14/2017

VAERS ID: 43888 Before After
VAERS Form:(blank) 1
Age:35.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-19
Onset:1990-10-30
Submitted:1992-07-28
Entered:1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK LA / -

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: sore throat day of vax
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, LP;
CDC 'Split Type':

Write-up: Guillain-Barre synd;


Changed on 2/14/2018

VAERS ID: 43888 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-19
Onset:1990-10-30
Submitted:1992-07-28
Entered:1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: sore throat day of vax
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, LP;
CDC 'Split Type':

Write-up: Guillain-Barre synd;


Changed on 6/14/2018

VAERS ID: 43888 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-19
Onset:1990-10-30
Submitted:1992-07-28
Entered:1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: sore throat day of vax
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, LP;
CDC 'Split Type':

Write-up: Guillain-Barre synd;


Changed on 8/14/2018

VAERS ID: 43888 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-19
Onset:1990-10-30
Submitted:1992-07-28
Entered:1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: sore throat day of vax
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, LP;
CDC 'Split Type':

Write-up: Guillain-Barre synd;


Changed on 9/14/2018

VAERS ID: 43888 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-19
Onset:1990-10-30
Submitted:1992-07-28
Entered:1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: sore throat day of vax
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, LP;
CDC 'Split Type':

Write-up: Guillain-Barre synd;


Changed on 10/14/2018

VAERS ID: 43888 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-19
Onset:1990-10-30
Submitted:1992-07-28
Entered:1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: sore throat day of vax
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG, LP;
CDC 'Split Type':

Write-up: Guillain-Barre synd;

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