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This is VAERS ID 46497

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 46497
VAERS Form:
Age:83.5
Sex:Male
Location:Hawaii
Vaccinated:1991-11-13
Onset:1991-11-13
Submitted:1992-07-10
Entered:1992-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1991-1992 / PARKE-DAVIS 148P / - - / -
PPV: PNU-IMUNE(R)23 / LEDERLE 314914 / - - / -

Administered by: Public      Purchased by: Unknown
Symptoms: HYPOKINESIA, MYALGIA

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: NONE
Other Medications: Feldene
Current Illness: NONE
Preexisting Conditions: brucitis rt arm, back (surgery x 3) injury, arthritis;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': brucitis rt arm, back (surgery x 3) injury, arthritis;

Write-up: aching in lt arm since vax recvd, difficulty using arm; still aches everyday cannot raise arms to reach for things up high; hx of brucitis in rt arm, arthritis & bad back (surgery 3 times);


Changed on 12/8/2009

VAERS ID: 46497 Before After
VAERS Form:
Age:83.5
Sex:Male
Location:Hawaii
Vaccinated:1991-11-13
Onset:1991-11-13
Submitted:1992-07-10
Entered:1992-10-29 1992-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1991-1992 INFLUENZA (SEASONAL) (FLUOGEN 91-92) / PARKE-DAVIS 148P / - - / -
PPV: PNU-IMUNE(R)23 PNEUMO (PNU-IMUNE) / LEDERLE LEDERLE LABORATORIES 314914 / - - / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Hypokinesia, Myalgia, HYPOKINESIA, MYALGIA

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: NONE
Other Medications: Feldene
Current Illness: NONE
Preexisting Conditions: brucitis rt arm, back (surgery x 3) injury, arthritis;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': brucitis rt arm, back (surgery x 3) injury, arthritis; HI9209

Write-up: aching in lt arm since vax recvd, difficulty using arm; still aches everyday cannot raise arms to reach for things up high; hx of brucitis in rt arm, arthritis & bad back (surgery 3 times);


Changed on 8/31/2010

VAERS ID: 46497 Before After
VAERS Form:
Age:83.5
Sex:Male
Location:Hawaii
Vaccinated:1991-11-13
Onset:1991-11-13
Submitted:1992-07-10
Entered:1992-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 91-92) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 148P / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 314914 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Hypokinesia, Myalgia

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: NONE
Other Medications: Feldene
Current Illness: NONE
Preexisting Conditions: brucitis rt arm, back (surgery x 3) injury, arthritis;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9209

Write-up: aching in lt arm since vax recvd, difficulty using arm; still aches everyday cannot raise arms to reach for things up high; hx of brucitis in rt arm, arthritis & bad back (surgery 3 times);


Changed on 7/7/2013

VAERS ID: 46497 Before After
VAERS Form:
Age:83.5
Sex:Male
Location:Hawaii
Vaccinated:1991-11-13
Onset:1991-11-13
Submitted:1992-07-10
Entered:1992-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 148P / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 148P / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 314914 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Hypokinesia, Myalgia

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: NONE
Other Medications: Feldene
Current Illness: NONE
Preexisting Conditions: brucitis rt arm, back (surgery x 3) injury, arthritis;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9209

Write-up: aching in lt arm since vax recvd, difficulty using arm; still aches everyday cannot raise arms to reach for things up high; hx of brucitis in rt arm, arthritis & bad back (surgery 3 times);


Changed on 2/14/2017

VAERS ID: 46497 Before After
VAERS Form:
Age:83.5 83.0
Sex:Male
Location:Hawaii
Vaccinated:1991-11-13
Onset:1991-11-13
Submitted:1992-07-10
Entered:1992-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 148P / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 314914 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Hypokinesia, Myalgia

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: NONE
Other Medications: Feldene
Current Illness: NONE
Preexisting Conditions: brucitis rt arm, back (surgery x 3) injury, arthritis;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9209

Write-up: aching in lt arm since vax recvd, difficulty using arm; still aches everyday cannot raise arms to reach for things up high; hx of brucitis in rt arm, arthritis & bad back (surgery 3 times);


Changed on 5/14/2017

VAERS ID: 46497 Before After
VAERS Form:
Age:83.0
Sex:Male
Location:Hawaii
Vaccinated:1991-11-13
Onset:1991-11-13
Submitted:1992-07-10
Entered:1992-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 148P / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 314914 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Hypokinesia, Myalgia

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: NONE NONE~ ()~~~In patient
Other Medications: Feldene
Current Illness: NONE
Preexisting Conditions: brucitis rt arm, back (surgery x 3) injury, arthritis;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9209

Write-up: aching in lt arm since vax recvd, difficulty using arm; still aches everyday cannot raise arms to reach for things up high; hx of brucitis in rt arm, arthritis & bad back (surgery 3 times);


Changed on 9/14/2017

VAERS ID: 46497 Before After
VAERS Form:(blank) 1
Age:83.0
Sex:Male
Location:Hawaii
Vaccinated:1991-11-13
Onset:1991-11-13
Submitted:1992-07-10
Entered:1992-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 148P / - UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 314914 / - UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Hypokinesia, Myalgia

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: NONE~ ()~~~In patient
Other Medications: Feldene
Current Illness: NONE
Preexisting Conditions: brucitis rt arm, back (surgery x 3) injury, arthritis;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9209

Write-up: aching in lt arm since vax recvd, difficulty using arm; still aches everyday cannot raise arms to reach for things up high; hx of brucitis in rt arm, arthritis & bad back (surgery 3 times);


Changed on 2/14/2018

VAERS ID: 46497 Before After
VAERS Form:1
Age:83.0
Sex:Male
Location:Hawaii
Vaccinated:1991-11-13
Onset:1991-11-13
Submitted:1992-07-10
Entered:1992-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 148P / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 314914 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Hypokinesia, Myalgia

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: NONE~ ()~~~In patient
Other Medications: Feldene
Current Illness: NONE
Preexisting Conditions: brucitis rt arm, back (surgery x 3) injury, arthritis;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9209

Write-up: aching in lt arm since vax recvd, difficulty using arm; still aches everyday cannot raise arms to reach for things up high; hx of brucitis in rt arm, arthritis & bad back (surgery 3 times);


Changed on 6/14/2018

VAERS ID: 46497 Before After
VAERS Form:1
Age:83.0
Sex:Male
Location:Hawaii
Vaccinated:1991-11-13
Onset:1991-11-13
Submitted:1992-07-10
Entered:1992-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 148P / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 314914 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Hypokinesia, Myalgia

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: NONE~ ()~~~In patient
Other Medications: Feldene
Current Illness: NONE
Preexisting Conditions: brucitis rt arm, back (surgery x 3) injury, arthritis;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9209

Write-up: aching in lt arm since vax recvd, difficulty using arm; still aches everyday cannot raise arms to reach for things up high; hx of brucitis in rt arm, arthritis & bad back (surgery 3 times);


Changed on 8/14/2018

VAERS ID: 46497 Before After
VAERS Form:1
Age:83.0
Sex:Male
Location:Hawaii
Vaccinated:1991-11-13
Onset:1991-11-13
Submitted:1992-07-10
Entered:1992-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 148P / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 314914 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Hypokinesia, Myalgia

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: NONE~ ()~~~In patient
Other Medications: Feldene
Current Illness: NONE
Preexisting Conditions: brucitis rt arm, back (surgery x 3) injury, arthritis;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9209

Write-up: aching in lt arm since vax recvd, difficulty using arm; still aches everyday cannot raise arms to reach for things up high; hx of brucitis in rt arm, arthritis & bad back (surgery 3 times);


Changed on 9/14/2018

VAERS ID: 46497 Before After
VAERS Form:1
Age:83.0
Sex:Male
Location:Hawaii
Vaccinated:1991-11-13
Onset:1991-11-13
Submitted:1992-07-10
Entered:1992-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 148P / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 314914 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Hypokinesia, Myalgia

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: NONE~ ()~~~In patient
Other Medications: Feldene
Current Illness: NONE
Preexisting Conditions: brucitis rt arm, back (surgery x 3) injury, arthritis;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9209

Write-up: aching in lt arm since vax recvd, difficulty using arm; still aches everyday cannot raise arms to reach for things up high; hx of brucitis in rt arm, arthritis & bad back (surgery 3 times);


Changed on 10/14/2018

VAERS ID: 46497 Before After
VAERS Form:1
Age:83.0
Sex:Male
Location:Hawaii
Vaccinated:1991-11-13
Onset:1991-11-13
Submitted:1992-07-10
Entered:1992-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 148P / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 314914 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Hypokinesia, Myalgia

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: NONE~ ()~~~In patient
Other Medications: Feldene
Current Illness: NONE
Preexisting Conditions: brucitis rt arm, back (surgery x 3) injury, arthritis;
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9209

Write-up: aching in lt arm since vax recvd, difficulty using arm; still aches everyday cannot raise arms to reach for things up high; hx of brucitis in rt arm, arthritis & bad back (surgery 3 times);

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=46497&WAYBACKHISTORY=ON


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