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This is VAERS ID 50587

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 50587
VAERS Form:
Age:65.5
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1992-1993 / WYETH - / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: CONVULS GRAND MAL, CONFUS, EDEMA BRAIN, DEMENTIA, DELUSIONS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


Changed on 12/8/2009

VAERS ID: 50587 Before After
VAERS Form:
Age:65.5
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-11 1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1992-1993 INFLUENZA (SEASONAL) (NO BRAND NAME, 92-93) / WYETH WYETH PHARMACEUTICALS, INC - / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection, Brain oedema, CONVULS GRAND MAL, CONFUS, EDEMA BRAIN, DEMENTIA, DELUSIONS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


Changed on 8/31/2010

VAERS ID: 50587 Before After
VAERS Form:
Age:65.5
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 92-93) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection, Brain oedema

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


Changed on 7/7/2013

VAERS ID: 50587 Before After
VAERS Form:
Age:65.5
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - RA / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection, Brain oedema

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


Changed on 12/14/2016

VAERS ID: 50587 Before After
VAERS Form:
Age:65.5
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - RA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection, Brain oedema

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


Changed on 2/14/2017

VAERS ID: 50587 Before After
VAERS Form:
Age:65.5 65.0
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection, Brain oedema

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


Changed on 5/14/2017

VAERS ID: 50587 Before After
VAERS Form:
Age:65.0
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection, Brain oedema

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


Changed on 9/14/2017

VAERS ID: 50587 Before After
VAERS Form:(blank) 1
Age:65.0
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection, Brain oedema

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


Changed on 2/14/2018

VAERS ID: 50587 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection, Brain oedema

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


Changed on 6/14/2018

VAERS ID: 50587 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection, Brain oedema

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


Changed on 8/14/2018

VAERS ID: 50587 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection, Brain oedema

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


Changed on 9/14/2018

VAERS ID: 50587 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection, Brain oedema

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;


Changed on 10/14/2018

VAERS ID: 50587 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1990-11-26
Onset:1990-12-12
Submitted:0000-00-00
Entered:1993-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Confusional state, Delusion, Dementia, Encephalitis, Grand mal convulsion, Hallucination, Infection, Brain oedema

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: cxr, CAT scan, LP; poss herpes simplex;
CDC 'Split Type':

Write-up: pt recvd flu vax 26NOV90 & 16 days later devel t103.6; 26DEC90 had backache; later was mentally confused w/slurred speech; pt taken to hosp had grand mal sz, swelling of brain, severe dementia, behavior problems, delusions, hallucinations;

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