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This is VAERS ID 48167

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 48167
VAERS Form:
Age:62.3
Sex:Male
Location:Florida
Vaccinated:1992-10-20
Onset:1992-10-24
Submitted:1992-11-17
Entered:1992-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1992-1993 / PARKE-DAVIS 00192P / 2 LA / IM

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC 'Split Type':

Write-up: Guillain Barre syndrome;


Changed on 12/8/2009

VAERS ID: 48167 Before After
VAERS Form:
Age:62.3
Sex:Male
Location:Florida
Vaccinated:1992-10-20
Onset:1992-10-24
Submitted:1992-11-17
Entered:1992-12-21 1992-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1992-1993 INFLUENZA (SEASONAL) (FLUOGEN 92-93) / PARKE-DAVIS 00192P / 2 LA / IM

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC 'Split Type': (blank) FL92076

Write-up: Guillain Barre syndrome;


Changed on 8/31/2010

VAERS ID: 48167 Before After
VAERS Form:
Age:62.3
Sex:Male
Location:Florida
Vaccinated:1992-10-20
Onset:1992-10-24
Submitted:1992-11-17
Entered:1992-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 92-93) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00192P / 2 LA / IM

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC 'Split Type': FL92076

Write-up: Guillain Barre syndrome;


Changed on 7/7/2013

VAERS ID: 48167 Before After
VAERS Form:
Age:62.3
Sex:Male
Location:Florida
Vaccinated:1992-10-20
Onset:1992-10-24
Submitted:1992-11-17
Entered:1992-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00192P / 2 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00192P / 2 LA / IM

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC 'Split Type': FL92076

Write-up: Guillain Barre syndrome;


Changed on 2/14/2017

VAERS ID: 48167 Before After
VAERS Form:
Age:62.3 62.0
Sex:Male
Location:Florida
Vaccinated:1992-10-20
Onset:1992-10-24
Submitted:1992-11-17
Entered:1992-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00192P / 2 LA / IM

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC 'Split Type': FL92076

Write-up: Guillain Barre syndrome;


Changed on 5/14/2017

VAERS ID: 48167 Before After
VAERS Form:
Age:62.0
Sex:Male
Location:Florida
Vaccinated:1992-10-20
Onset:1992-10-24
Submitted:1992-11-17
Entered:1992-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00192P / 2 LA / IM

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC 'Split Type': FL92076

Write-up: Guillain Barre syndrome;


Changed on 9/14/2017

VAERS ID: 48167 Before After
VAERS Form:(blank) 1
Age:62.0
Sex:Male
Location:Florida
Vaccinated:1992-10-20
Onset:1992-10-24
Submitted:1992-11-17
Entered:1992-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00192P / 2 3 LA / IM

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC 'Split Type': FL92076

Write-up: Guillain Barre syndrome;


Changed on 2/14/2018

VAERS ID: 48167 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:Florida
Vaccinated:1992-10-20
Onset:1992-10-24
Submitted:1992-11-17
Entered:1992-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00192P / 3 LA / IM

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC 'Split Type': FL92076

Write-up: Guillain Barre syndrome;


Changed on 6/14/2018

VAERS ID: 48167 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:Florida
Vaccinated:1992-10-20
Onset:1992-10-24
Submitted:1992-11-17
Entered:1992-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00192P / 3 LA / IM

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC 'Split Type': FL92076

Write-up: Guillain Barre syndrome;


Changed on 8/14/2018

VAERS ID: 48167 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:Florida
Vaccinated:1992-10-20
Onset:1992-10-24
Submitted:1992-11-17
Entered:1992-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00192P / 3 LA / IM

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC 'Split Type': FL92076

Write-up: Guillain Barre syndrome;


Changed on 9/14/2018

VAERS ID: 48167 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:Florida
Vaccinated:1992-10-20
Onset:1992-10-24
Submitted:1992-11-17
Entered:1992-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00192P / 3 LA / IM

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC 'Split Type': FL92076

Write-up: Guillain Barre syndrome;


Changed on 10/14/2018

VAERS ID: 48167 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:Florida
Vaccinated:1992-10-20
Onset:1992-10-24
Submitted:1992-11-17
Entered:1992-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00192P / 3 LA / IM

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mevacor, Vitamins
Current Illness: NONE
Preexisting Conditions: ASHD, S/PCABG
Allergies:
Diagnostic Lab Data: LP, EMG;
CDC 'Split Type': FL92076

Write-up: Guillain Barre syndrome;

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