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This is VAERS ID 50793

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2017

VAERS ID: 50793
VAERS Form:
Age:11.0
Sex:Male
Location:Wisconsin
Vaccinated:1991-08-27
Onset:1991-09-03
Submitted:1993-03-07
Entered:1993-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Convulsion, Encephalitis, Headache, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-09-04
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: poss of asthma (allergy to cats)
Allergies:
Diagnostic Lab Data: autopsy report concluded that pt died of post vaccinal encephalitis;
CDC 'Split Type':

Write-up: severe h/a 3SEP91 AM-PM; vomiting p/MN; seizures 7AM on 4SEP91; coma-death 1225PM on 4SEP91;


Changed on 9/14/2017

VAERS ID: 50793 Before After
VAERS Form:(blank) 1
Age:11.0
Sex:Male
Location:Wisconsin
Vaccinated:1991-08-27
Onset:1991-09-03
Submitted:1993-03-07
Entered:1993-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 0 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Convulsion, Encephalitis, Headache, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-09-04
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: poss of asthma (allergy to cats)
Allergies:
Diagnostic Lab Data: autopsy report concluded that pt died of post vaccinal encephalitis;
CDC 'Split Type':

Write-up: severe h/a 3SEP91 AM-PM; vomiting p/MN; seizures 7AM on 4SEP91; coma-death 1225PM on 4SEP91;


Changed on 2/14/2018

VAERS ID: 50793 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Wisconsin
Vaccinated:1991-08-27
Onset:1991-09-03
Submitted:1993-03-07
Entered:1993-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Convulsion, Encephalitis, Headache, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-09-04
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: poss of asthma (allergy to cats)
Allergies:
Diagnostic Lab Data: autopsy report concluded that pt died of post vaccinal encephalitis;
CDC 'Split Type':

Write-up: severe h/a 3SEP91 AM-PM; vomiting p/MN; seizures 7AM on 4SEP91; coma-death 1225PM on 4SEP91;


Changed on 6/14/2018

VAERS ID: 50793 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Wisconsin
Vaccinated:1991-08-27
Onset:1991-09-03
Submitted:1993-03-07
Entered:1993-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Convulsion, Encephalitis, Headache, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-09-04
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: poss of asthma (allergy to cats)
Allergies:
Diagnostic Lab Data: autopsy report concluded that pt died of post vaccinal encephalitis;
CDC 'Split Type':

Write-up: severe h/a 3SEP91 AM-PM; vomiting p/MN; seizures 7AM on 4SEP91; coma-death 1225PM on 4SEP91;


Changed on 8/14/2018

VAERS ID: 50793 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Wisconsin
Vaccinated:1991-08-27
Onset:1991-09-03
Submitted:1993-03-07
Entered:1993-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Convulsion, Encephalitis, Headache, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-09-04
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: poss of asthma (allergy to cats)
Allergies:
Diagnostic Lab Data: autopsy report concluded that pt died of post vaccinal encephalitis;
CDC 'Split Type':

Write-up: severe h/a 3SEP91 AM-PM; vomiting p/MN; seizures 7AM on 4SEP91; coma-death 1225PM on 4SEP91;


Changed on 9/14/2018

VAERS ID: 50793 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Wisconsin
Vaccinated:1991-08-27
Onset:1991-09-03
Submitted:1993-03-07
Entered:1993-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Convulsion, Encephalitis, Headache, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-09-04
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: poss of asthma (allergy to cats)
Allergies:
Diagnostic Lab Data: autopsy report concluded that pt died of post vaccinal encephalitis;
CDC 'Split Type':

Write-up: severe h/a 3SEP91 AM-PM; vomiting p/MN; seizures 7AM on 4SEP91; coma-death 1225PM on 4SEP91;


Changed on 10/14/2018

VAERS ID: 50793 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Wisconsin
Vaccinated:1991-08-27
Onset:1991-09-03
Submitted:1993-03-07
Entered:1993-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Convulsion, Encephalitis, Headache, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1991-09-04
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: poss of asthma (allergy to cats)
Allergies:
Diagnostic Lab Data: autopsy report concluded that pt died of post vaccinal encephalitis;
CDC 'Split Type':

Write-up: severe h/a 3SEP91 AM-PM; vomiting p/MN; seizures 7AM on 4SEP91; coma-death 1225PM on 4SEP91;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=50793&WAYBACKHISTORY=ON


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