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This is VAERS ID 470610

History of Changes from the VAERS Wayback Machine

First Appeared on 11/13/2012

VAERS ID: 470610
VAERS Form:
Age:59.0
Sex:Female
Location:Pennsylvania
Vaccinated:2010-09-01
Onset:2010-09-10
Submitted:2012-10-19
Entered:2012-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Malaise

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Not sure. She had been taking pain meds, psych meds, and laxatives.
Current Illness:
Preexisting Conditions: Hypothyroidism Bipolar disorder Back pain
Allergies:
Diagnostic Lab Data: My mom died from a small bowel obstruction. I believe the vaccine may have precipitated the mechanical obstruction. As a healthcare worker being forced into the flu vaccine, I am extremely afraid of the effect on me or losing my job as a CRNA.
CDC 'Split Type':

Write-up: Extreme malaise lasting months. Diagnosed with chronic fatigue syndrome from the flu vaccine.


Changed on 7/7/2013

VAERS ID: 470610 Before After
VAERS Form:
Age:59.0
Sex:Female
Location:Pennsylvania
Vaccinated:2010-09-01
Onset:2010-09-10
Submitted:2012-10-19
Entered:2012-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Malaise

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Not sure. She had been taking pain meds, psych meds, and laxatives.
Current Illness:
Preexisting Conditions: Hypothyroidism Bipolar disorder Back pain
Allergies:
Diagnostic Lab Data: My mom died from a small bowel obstruction. I believe the vaccine may have precipitated the mechanical obstruction. As a healthcare worker being forced into the flu vaccine, I am extremely afraid of the effect on me or losing my job as a CRNA.
CDC 'Split Type':

Write-up: Extreme malaise lasting months. Diagnosed with chronic fatigue syndrome from the flu vaccine.


Changed on 6/14/2014

VAERS ID: 470610 Before After
VAERS Form:
Age:59.0
Sex:Female
Location:Pennsylvania
Vaccinated:2010-09-01
Onset:2010-09-10
Submitted:2012-10-19
Entered:2012-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Malaise

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Not sure. She had been taking pain meds, psych meds, and laxatives.
Current Illness:
Preexisting Conditions: Hypothyroidism Bipolar disorder Back pain
Allergies:
Diagnostic Lab Data: My mom died from a small bowel obstruction. I believe the vaccine may have precipitated the mechanical obstruction. As a healthcare worker being forced into the flu vaccine, I am extremely afraid of the effect on me or losing my job as a CRNA.
CDC 'Split Type':

Write-up: Extreme malaise lasting months. Diagnosed with chronic fatigue syndrome from the flu vaccine.


Changed on 12/14/2016

VAERS ID: 470610 Before After
VAERS Form:
Age:59.0
Sex:Female
Location:Pennsylvania
Vaccinated:2010-09-01
Onset:2010-09-10
Submitted:2012-10-19
Entered:2012-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Malaise

Life Threatening? No
Birth Defect? No
Died? No Yes
   Date died:0000-00-00 2011-03-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No Yes
ER or ED Visit (V2.0)? No
Hospitalized? No Yes, days: (blank) 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Not sure. She had been taking pain meds, psych meds, and laxatives.
Current Illness:
Preexisting Conditions: Hypothyroidism Bipolar disorder Back pain
Allergies:
Diagnostic Lab Data: My mom died from a small bowel obstruction. I believe the vaccine may have precipitated the mechanical obstruction. As a healthcare worker being forced into the flu vaccine, I am extremely afraid of the effect on me or losing my job as a CRNA.
CDC 'Split Type':

Write-up: Extreme malaise lasting months. Diagnosed with chronic fatigue syndrome from the flu vaccine.


Changed on 9/14/2017

VAERS ID: 470610 Before After
VAERS Form:(blank) 1
Age:59.0
Sex:Female
Location:Pennsylvania
Vaccinated:2010-09-01
Onset:2010-09-10
Submitted:2012-10-19
Entered:2012-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK UN / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Not sure. She had been taking pain meds, psych meds, and laxatives.
Current Illness:
Preexisting Conditions: Hypothyroidism Bipolar disorder Back pain
Allergies:
Diagnostic Lab Data: My mom died from a small bowel obstruction. I believe the vaccine may have precipitated the mechanical obstruction. As a healthcare worker being forced into the flu vaccine, I am extremely afraid of the effect on me or losing my job as a CRNA.
CDC 'Split Type':

Write-up: Extreme malaise lasting months. Diagnosed with chronic fatigue syndrome from the flu vaccine.


Changed on 2/14/2018

VAERS ID: 470610 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Pennsylvania
Vaccinated:2010-09-01
Onset:2010-09-10
Submitted:2012-10-19
Entered:2012-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Not sure. She had been taking pain meds, psych meds, and laxatives.
Current Illness:
Preexisting Conditions: Hypothyroidism Bipolar disorder Back pain
Allergies:
Diagnostic Lab Data: My mom died from a small bowel obstruction. I believe the vaccine may have precipitated the mechanical obstruction. As a healthcare worker being forced into the flu vaccine, I am extremely afraid of the effect on me or losing my job as a CRNA.
CDC 'Split Type':

Write-up: Extreme malaise lasting months. Diagnosed with chronic fatigue syndrome from the flu vaccine.


Changed on 6/14/2018

VAERS ID: 470610 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Pennsylvania
Vaccinated:2010-09-01
Onset:2010-09-10
Submitted:2012-10-19
Entered:2012-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Not sure. She had been taking pain meds, psych meds, and laxatives.
Current Illness:
Preexisting Conditions: Hypothyroidism Bipolar disorder Back pain
Allergies:
Diagnostic Lab Data: My mom died from a small bowel obstruction. I believe the vaccine may have precipitated the mechanical obstruction. As a healthcare worker being forced into the flu vaccine, I am extremely afraid of the effect on me or losing my job as a CRNA.
CDC 'Split Type':

Write-up: Extreme malaise lasting months. Diagnosed with chronic fatigue syndrome from the flu vaccine.


Changed on 8/14/2018

VAERS ID: 470610 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Pennsylvania
Vaccinated:2010-09-01
Onset:2010-09-10
Submitted:2012-10-19
Entered:2012-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Not sure. She had been taking pain meds, psych meds, and laxatives.
Current Illness:
Preexisting Conditions: Hypothyroidism Bipolar disorder Back pain
Allergies:
Diagnostic Lab Data: My mom died from a small bowel obstruction. I believe the vaccine may have precipitated the mechanical obstruction. As a healthcare worker being forced into the flu vaccine, I am extremely afraid of the effect on me or losing my job as a CRNA.
CDC 'Split Type':

Write-up: Extreme malaise lasting months. Diagnosed with chronic fatigue syndrome from the flu vaccine.


Changed on 9/14/2018

VAERS ID: 470610 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Pennsylvania
Vaccinated:2010-09-01
Onset:2010-09-10
Submitted:2012-10-19
Entered:2012-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Not sure. She had been taking pain meds, psych meds, and laxatives.
Current Illness:
Preexisting Conditions: Hypothyroidism Bipolar disorder Back pain
Allergies:
Diagnostic Lab Data: My mom died from a small bowel obstruction. I believe the vaccine may have precipitated the mechanical obstruction. As a healthcare worker being forced into the flu vaccine, I am extremely afraid of the effect on me or losing my job as a CRNA.
CDC 'Split Type':

Write-up: Extreme malaise lasting months. Diagnosed with chronic fatigue syndrome from the flu vaccine.


Changed on 10/14/2018

VAERS ID: 470610 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:Pennsylvania
Vaccinated:2010-09-01
Onset:2010-09-10
Submitted:2012-10-19
Entered:2012-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-03-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Not sure. She had been taking pain meds, psych meds, and laxatives.
Current Illness:
Preexisting Conditions: Hypothyroidism Bipolar disorder Back pain
Allergies:
Diagnostic Lab Data: My mom died from a small bowel obstruction. I believe the vaccine may have precipitated the mechanical obstruction. As a healthcare worker being forced into the flu vaccine, I am extremely afraid of the effect on me or losing my job as a CRNA.
CDC 'Split Type':

Write-up: Extreme malaise lasting months. Diagnosed with chronic fatigue syndrome from the flu vaccine.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=470610&WAYBACKHISTORY=ON


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