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This is VAERS ID 57886

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 57886
VAERS Form:
Age:51.5
Sex:Female
Location:Unknown
Vaccinated:1993-10-26
Onset:1993-11-09
Submitted:1993-11-14
Entered:1993-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED 4938084 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, ASTHENIA, QUADRIPLEGIA

Life Threatening? Yes
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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC 'Split Type':

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;


Changed on 12/8/2009

VAERS ID: 57886 Before After
VAERS Form:
Age:51.5
Sex:Female
Location:Unknown
Vaccinated:1993-10-26
Onset:1993-11-09
Submitted:1993-11-14
Entered:1993-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER 4938084 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Quadriplegia, GUILLAIN BARRE SYND, ASTHENIA, QUADRIPLEGIA

Life Threatening? Yes
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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC 'Split Type':

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;


Changed on 7/7/2013

VAERS ID: 57886 Before After
VAERS Form:
Age:51.5
Sex:Female
Location:Unknown
Vaccinated:1993-10-26
Onset:1993-11-09
Submitted:1993-11-14
Entered:1993-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / - - / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Quadriplegia

Life Threatening? Yes
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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC 'Split Type':

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;


Changed on 12/14/2016

VAERS ID: 57886 Before After
VAERS Form:
Age:51.5
Sex:Female
Location:Unknown
Vaccinated:1993-10-26
Onset:1993-11-09
Submitted:1993-11-14
Entered:1993-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / - - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Quadriplegia

Life Threatening? Yes
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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC 'Split Type':

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;


Changed on 2/14/2017

VAERS ID: 57886 Before After
VAERS Form:
Age:51.5 51.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-26
Onset:1993-11-09
Submitted:1993-11-14
Entered:1993-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Quadriplegia

Life Threatening? Yes
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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC 'Split Type':

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;


Changed on 5/14/2017

VAERS ID: 57886 Before After
VAERS Form:
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-26
Onset:1993-11-09
Submitted:1993-11-14
Entered:1993-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Quadriplegia

Life Threatening? Yes
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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC 'Split Type':

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;


Changed on 9/14/2017

VAERS ID: 57886 Before After
VAERS Form:(blank) 1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-26
Onset:1993-11-09
Submitted:1993-11-14
Entered:1993-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Quadriplegia

Life Threatening? Yes
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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC 'Split Type':

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;


Changed on 2/14/2018

VAERS ID: 57886 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-26
Onset:1993-11-09
Submitted:1993-11-14
Entered:1993-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Quadriplegia

Life Threatening? Yes
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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC 'Split Type':

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;


Changed on 6/14/2018

VAERS ID: 57886 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-26
Onset:1993-11-09
Submitted:1993-11-14
Entered:1993-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Quadriplegia

Life Threatening? Yes
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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC 'Split Type':

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;


Changed on 8/14/2018

VAERS ID: 57886 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-26
Onset:1993-11-09
Submitted:1993-11-14
Entered:1993-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Quadriplegia

Life Threatening? Yes
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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC 'Split Type':

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;


Changed on 9/14/2018

VAERS ID: 57886 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-26
Onset:1993-11-09
Submitted:1993-11-14
Entered:1993-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Quadriplegia

Life Threatening? Yes
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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC 'Split Type':

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;


Changed on 10/14/2018

VAERS ID: 57886 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:1993-10-26
Onset:1993-11-09
Submitted:1993-11-14
Entered:1993-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 4938084 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Quadriplegia

Life Threatening? Yes
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: Hypertension
Current Illness:
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: CSF prot 49;no cells; exam-flaccid quadraplegia; loss of reflexes;
CDC 'Split Type':

Write-up: 2 wks p/flu shot onset of progressive ascending motor weakness-GBS; resulting in quadreparesis;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=57886&WAYBACKHISTORY=ON


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