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This is VAERS ID 50178

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 50178
VAERS Form:
Age:63.6
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1992-1993 / WYETH - / 8 A / IM

Administered by: Private      Purchased by: Unknown
Symptoms: PAIN, PARESTHESIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;


Changed on 12/8/2009

VAERS ID: 50178 Before After
VAERS Form:
Age:63.6
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-24 1993-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1992-1993 INFLUENZA (SEASONAL) (NO BRAND NAME, 92-93) / WYETH WYETH PHARMACEUTICALS, INC - / 8 A / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Pain, Paraesthesia, PAIN, PARESTHESIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 892338003K

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;


Changed on 8/31/2010

VAERS ID: 50178 Before After
VAERS Form:
Age:63.6
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 92-93) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / 8 A / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892338003K

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;


Changed on 7/7/2013

VAERS ID: 50178 Before After
VAERS Form:
Age:63.6
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 8 A / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 8 A / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892338003K

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;


Changed on 12/14/2016

VAERS ID: 50178 Before After
VAERS Form:
Age:63.6
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 8 A / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 8 A / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892338003K

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;


Changed on 2/14/2017

VAERS ID: 50178 Before After
VAERS Form:
Age:63.6 63.0
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 8 A / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892338003K

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;


Changed on 5/14/2017

VAERS ID: 50178 Before After
VAERS Form:
Age:63.0
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 8 A - / IM IM A

Administered by: Private      Purchased by: Other
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892338003K

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;


Changed on 9/14/2017

VAERS ID: 50178 Before After
VAERS Form:(blank) 1
Age:63.0
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 8 7+ - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892338003K

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;


Changed on 2/14/2018

VAERS ID: 50178 Before After
VAERS Form:1
Age:63.0
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 7+ - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892338003K

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;


Changed on 6/14/2018

VAERS ID: 50178 Before After
VAERS Form:1
Age:63.0
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 7+ - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892338003K

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;


Changed on 8/14/2018

VAERS ID: 50178 Before After
VAERS Form:1
Age:63.0
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 7+ - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892338003K

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;


Changed on 9/14/2018

VAERS ID: 50178 Before After
VAERS Form:1
Age:63.0
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 7+ - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892338003K

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;


Changed on 10/14/2018

VAERS ID: 50178 Before After
VAERS Form:1
Age:63.0
Sex:Female
Location:New York
Vaccinated:1992-10-20
Onset:1992-10-21
Submitted:1992-11-17
Entered:1993-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 7+ - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 892338003K

Write-up: pt recvd flu vax & exp pain in the arm of inject from neck to the hand; pt continues to have pain 1 mo p/vax;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=50178&WAYBACKHISTORY=ON


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