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This is VAERS ID 48049

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 48049
VAERS Form:
Age:84.6
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1992-1993 / WYETH 4928241 / 5 LA / -

Administered by: Public      Purchased by: Unknown
Symptoms: SYNCOPE, PARALYSIS, HEM CEREBR

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': NONE

Write-up: loss of consciousness, paralysis;


Changed on 12/8/2009

VAERS ID: 48049 Before After
VAERS Form:
Age:84.6
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-16 1992-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1992-1993 INFLUENZA (SEASONAL) (NO BRAND NAME, 92-93) / WYETH WYETH PHARMACEUTICALS, INC 4928241 / 5 LA / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Cerebral haemorrhage, Paralysis, Syncope, SYNCOPE, PARALYSIS, HEM CEREBR

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': NONE BA92001

Write-up: loss of consciousness, paralysis;


Changed on 8/31/2010

VAERS ID: 48049 Before After
VAERS Form:
Age:84.6
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 92-93) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4928241 / 5 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Cerebral haemorrhage, Paralysis, Syncope

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': BA92001

Write-up: loss of consciousness, paralysis;


Changed on 7/7/2013

VAERS ID: 48049 Before After
VAERS Form:
Age:84.6
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928241 / 5 LA / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928241 / 5 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Cerebral haemorrhage, Paralysis, Syncope

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': BA92001

Write-up: loss of consciousness, paralysis;


Changed on 12/14/2016

VAERS ID: 48049 Before After
VAERS Form:
Age:84.6
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928241 / 5 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928241 / 5 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Cerebral haemorrhage, Paralysis, Syncope

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': BA92001

Write-up: loss of consciousness, paralysis;


Changed on 2/14/2017

VAERS ID: 48049 Before After
VAERS Form:
Age:84.6 84.0
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928241 / 5 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Cerebral haemorrhage, Paralysis, Syncope

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': BA92001

Write-up: loss of consciousness, paralysis;


Changed on 5/14/2017

VAERS ID: 48049 Before After
VAERS Form:
Age:84.0
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928241 / 5 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Cerebral haemorrhage, Paralysis, Syncope

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': BA92001

Write-up: loss of consciousness, paralysis;


Changed on 9/14/2017

VAERS ID: 48049 Before After
VAERS Form:(blank) 1
Age:84.0
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928241 / 5 6 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Cerebral haemorrhage, Paralysis, Syncope

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': BA92001

Write-up: loss of consciousness, paralysis;


Changed on 2/14/2018

VAERS ID: 48049 Before After
VAERS Form:1
Age:84.0
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928241 / 6 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Cerebral haemorrhage, Paralysis, Syncope

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': BA92001

Write-up: loss of consciousness, paralysis;


Changed on 6/14/2018

VAERS ID: 48049 Before After
VAERS Form:1
Age:84.0
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928241 / 6 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Cerebral haemorrhage, Paralysis, Syncope

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': BA92001

Write-up: loss of consciousness, paralysis;


Changed on 8/14/2018

VAERS ID: 48049 Before After
VAERS Form:1
Age:84.0
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928241 / 6 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Cerebral haemorrhage, Paralysis, Syncope

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': BA92001

Write-up: loss of consciousness, paralysis;


Changed on 9/14/2018

VAERS ID: 48049 Before After
VAERS Form:1
Age:84.0
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928241 / 6 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Cerebral haemorrhage, Paralysis, Syncope

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': BA92001

Write-up: loss of consciousness, paralysis;


Changed on 10/14/2018

VAERS ID: 48049 Before After
VAERS Form:1
Age:84.0
Sex:Female
Location:New York
Vaccinated:1992-10-22
Onset:1992-10-22
Submitted:1992-10-23
Entered:1992-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928241 / 6 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Cerebral haemorrhage, Paralysis, Syncope

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: dx: intracerebral hemorrhage; no evidence seen by MD of hypersensitivity rxn to vax;
CDC 'Split Type': BA92001

Write-up: loss of consciousness, paralysis;

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