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This is VAERS ID 57855

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 57855
VAERS Form:
Age:82.2
Sex:Female
Location:Unknown
Vaccinated:1993-10-07
Onset:1993-10-17
Submitted:1993-11-26
Entered:1993-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: LAB TEST ABNORM, MYASTHENIA

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: early Parkinson; mild inhalent allergies; s/p 2 1/2 yrs partial colectomy for adenocarcinoma odor;
Allergies:
Diagnostic Lab Data: pos edrophorinum 28OCT93; antiacetylchloline antibiotic test 28OCT93;
CDC 'Split Type':

Write-up: 10 days p/flu vax devel occular myasthenia gravis documented by pos edrophonium & pos anti acetylcholine antibiotic test; also began treatment for parkinson disease;


Changed on 12/8/2009

VAERS ID: 57855 Before After
VAERS Form:
Age:82.2
Sex:Female
Location:Unknown
Vaccinated:1993-10-07
Onset:1993-10-17
Submitted:1993-11-26
Entered:1993-12-10 1993-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Myasthenic syndrome, LAB TEST ABNORM, MYASTHENIA

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: early Parkinson; mild inhalent allergies; s/p 2 1/2 yrs partial colectomy for adenocarcinoma odor;
Allergies:
Diagnostic Lab Data: pos edrophorinum 28OCT93; antiacetylchloline antibiotic test 28OCT93;
CDC 'Split Type':

Write-up: 10 days p/flu vax devel occular myasthenia gravis documented by pos edrophonium & pos anti acetylcholine antibiotic test; also began treatment for parkinson disease;


Changed on 7/7/2013

VAERS ID: 57855 Before After
VAERS Form:
Age:82.2
Sex:Female
Location:Unknown
Vaccinated:1993-10-07
Onset:1993-10-17
Submitted:1993-11-26
Entered:1993-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - A / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Myasthenic 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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: early Parkinson; mild inhalent allergies; s/p 2 1/2 yrs partial colectomy for adenocarcinoma odor;
Allergies:
Diagnostic Lab Data: pos edrophorinum 28OCT93; antiacetylchloline antibiotic test 28OCT93;
CDC 'Split Type':

Write-up: 10 days p/flu vax devel occular myasthenia gravis documented by pos edrophonium & pos anti acetylcholine antibiotic test; also began treatment for parkinson disease;


Changed on 12/14/2016

VAERS ID: 57855 Before After
VAERS Form:
Age:82.2
Sex:Female
Location:Unknown
Vaccinated:1993-10-07
Onset:1993-10-17
Submitted:1993-11-26
Entered:1993-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - A / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Myasthenic 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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: early Parkinson; mild inhalent allergies; s/p 2 1/2 yrs partial colectomy for adenocarcinoma odor;
Allergies:
Diagnostic Lab Data: pos edrophorinum 28OCT93; antiacetylchloline antibiotic test 28OCT93;
CDC 'Split Type':

Write-up: 10 days p/flu vax devel occular myasthenia gravis documented by pos edrophonium & pos anti acetylcholine antibiotic test; also began treatment for parkinson disease;


Changed on 2/14/2017

VAERS ID: 57855 Before After
VAERS Form:
Age:82.2 82.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-07
Onset:1993-10-17
Submitted:1993-11-26
Entered:1993-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Myasthenic 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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: early Parkinson; mild inhalent allergies; s/p 2 1/2 yrs partial colectomy for adenocarcinoma odor;
Allergies:
Diagnostic Lab Data: pos edrophorinum 28OCT93; antiacetylchloline antibiotic test 28OCT93;
CDC 'Split Type':

Write-up: 10 days p/flu vax devel occular myasthenia gravis documented by pos edrophonium & pos anti acetylcholine antibiotic test; also began treatment for parkinson disease;


Changed on 5/14/2017

VAERS ID: 57855 Before After
VAERS Form:
Age:82.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-07
Onset:1993-10-17
Submitted:1993-11-26
Entered:1993-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - A - / IM IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Myasthenic 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: early Parkinson; mild inhalent allergies; s/p 2 1/2 yrs partial colectomy for adenocarcinoma odor;
Allergies:
Diagnostic Lab Data: pos edrophorinum 28OCT93; antiacetylchloline antibiotic test 28OCT93;
CDC 'Split Type':

Write-up: 10 days p/flu vax devel occular myasthenia gravis documented by pos edrophonium & pos anti acetylcholine antibiotic test; also began treatment for parkinson disease;


Changed on 9/14/2017

VAERS ID: 57855 Before After
VAERS Form:(blank) 1
Age:82.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-07
Onset:1993-10-17
Submitted:1993-11-26
Entered:1993-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Myasthenic 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: early Parkinson; mild inhalent allergies; s/p 2 1/2 yrs partial colectomy for adenocarcinoma odor;
Allergies:
Diagnostic Lab Data: pos edrophorinum 28OCT93; antiacetylchloline antibiotic test 28OCT93;
CDC 'Split Type':

Write-up: 10 days p/flu vax devel occular myasthenia gravis documented by pos edrophonium & pos anti acetylcholine antibiotic test; also began treatment for parkinson disease;


Changed on 2/14/2018

VAERS ID: 57855 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-07
Onset:1993-10-17
Submitted:1993-11-26
Entered:1993-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Myasthenic 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: early Parkinson; mild inhalent allergies; s/p 2 1/2 yrs partial colectomy for adenocarcinoma odor;
Allergies:
Diagnostic Lab Data: pos edrophorinum 28OCT93; antiacetylchloline antibiotic test 28OCT93;
CDC 'Split Type':

Write-up: 10 days p/flu vax devel occular myasthenia gravis documented by pos edrophonium & pos anti acetylcholine antibiotic test; also began treatment for parkinson disease;


Changed on 6/14/2018

VAERS ID: 57855 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-07
Onset:1993-10-17
Submitted:1993-11-26
Entered:1993-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Myasthenic 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: early Parkinson; mild inhalent allergies; s/p 2 1/2 yrs partial colectomy for adenocarcinoma odor;
Allergies:
Diagnostic Lab Data: pos edrophorinum 28OCT93; antiacetylchloline antibiotic test 28OCT93;
CDC 'Split Type':

Write-up: 10 days p/flu vax devel occular myasthenia gravis documented by pos edrophonium & pos anti acetylcholine antibiotic test; also began treatment for parkinson disease;


Changed on 8/14/2018

VAERS ID: 57855 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-07
Onset:1993-10-17
Submitted:1993-11-26
Entered:1993-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Myasthenic 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: early Parkinson; mild inhalent allergies; s/p 2 1/2 yrs partial colectomy for adenocarcinoma odor;
Allergies:
Diagnostic Lab Data: pos edrophorinum 28OCT93; antiacetylchloline antibiotic test 28OCT93;
CDC 'Split Type':

Write-up: 10 days p/flu vax devel occular myasthenia gravis documented by pos edrophonium & pos anti acetylcholine antibiotic test; also began treatment for parkinson disease;


Changed on 9/14/2018

VAERS ID: 57855 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-07
Onset:1993-10-17
Submitted:1993-11-26
Entered:1993-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Myasthenic 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: early Parkinson; mild inhalent allergies; s/p 2 1/2 yrs partial colectomy for adenocarcinoma odor;
Allergies:
Diagnostic Lab Data: pos edrophorinum 28OCT93; antiacetylchloline antibiotic test 28OCT93;
CDC 'Split Type':

Write-up: 10 days p/flu vax devel occular myasthenia gravis documented by pos edrophonium & pos anti acetylcholine antibiotic test; also began treatment for parkinson disease;


Changed on 10/14/2018

VAERS ID: 57855 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-07
Onset:1993-10-17
Submitted:1993-11-26
Entered:1993-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Myasthenic 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: early Parkinson; mild inhalent allergies; s/p 2 1/2 yrs partial colectomy for adenocarcinoma odor;
Allergies:
Diagnostic Lab Data: pos edrophorinum 28OCT93; antiacetylchloline antibiotic test 28OCT93;
CDC 'Split Type':

Write-up: 10 days p/flu vax devel occular myasthenia gravis documented by pos edrophonium & pos anti acetylcholine antibiotic test; also began treatment for parkinson disease;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=57855&WAYBACKHISTORY=ON


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