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This is VAERS ID 58133

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 58133
VAERS Form:
Age:54.9
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 / WYETH 4938262 / - LA / -

Administered by: Other      Purchased by: Unknown
Symptoms: HYPOKINESIA, PAIN BACK, GUILLAIN BARRE SYND, ASTHENIA, PARESTH CIRCUMORAL

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? Yes
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type': NONE

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


Changed on 12/8/2009

VAERS ID: 58133 Before After
VAERS Form:
Age:54.9
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-14 1993-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 INFLUENZA (SEASONAL) (NO BRAND NAME, 93-94) / WYETH WYETH PHARMACEUTICALS, INC 4938262 / - LA / -

Administered by: Other      Purchased by: Unknown Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral, HYPOKINESIA, PAIN BACK, GUILLAIN BARRE SYND, ASTHENIA, PARESTH CIRCUMORAL

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? Yes
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type': NONE (blank)

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


Changed on 8/31/2010

VAERS ID: 58133 Before After
VAERS Form:
Age:54.9
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 93-94) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4938262 / - LA / -

Administered by: Other      Purchased by: Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral

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? Yes
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type':

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


Changed on 7/7/2013

VAERS ID: 58133 Before After
VAERS Form:
Age:54.9
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / - LA / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / - LA / -

Administered by: Other      Purchased by: Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral

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? Yes
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type':

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


Changed on 12/14/2016

VAERS ID: 58133 Before After
VAERS Form:
Age:54.9
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / - LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / - LA / -

Administered by: Other      Purchased by: Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral

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? Yes
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type':

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


Changed on 2/14/2017

VAERS ID: 58133 Before After
VAERS Form:
Age:54.9 54.0
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / - LA / -

Administered by: Other      Purchased by: Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral

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? Yes
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type':

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


Changed on 5/14/2017

VAERS ID: 58133 Before After
VAERS Form:
Age:54.0
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / - LA / -

Administered by: Other      Purchased by: Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral

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? Yes
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type':

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


Changed on 9/14/2017

VAERS ID: 58133 Before After
VAERS Form:(blank) 1
Age:54.0
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / - UNK LA / -

Administered by: Other      Purchased by: Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral

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? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type':

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


Changed on 2/14/2018

VAERS ID: 58133 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / UNK LA / -

Administered by: Other      Purchased by: Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral

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? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type':

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


Changed on 6/14/2018

VAERS ID: 58133 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / UNK LA / -

Administered by: Other      Purchased by: Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral

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? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type':

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


Changed on 8/14/2018

VAERS ID: 58133 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / UNK LA / -

Administered by: Other      Purchased by: Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral

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? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type':

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


Changed on 9/14/2018

VAERS ID: 58133 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / UNK LA / -

Administered by: Other      Purchased by: Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral

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? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type':

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;


Changed on 10/14/2018

VAERS ID: 58133 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Colorado
Vaccinated:1993-11-05
Onset:1993-11-15
Submitted:1993-12-08
Entered:1993-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938262 / UNK LA / -

Administered by: Other      Purchased by: Private
Symptoms: Asthenia, Back pain, Dysgeusia, Guillain-Barre syndrome, Hypokinesia, Paraesthesia, Paraesthesia oral

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? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, spinal tap, NIER, much lab;
CDC 'Split Type':

Write-up: Numbness of hands, legs, buttocks, mouth; hospitalized for 2 weeks; plasmapheresis administered (18 liters); released to rehab center; still unable to stand or walk after 3.5 weeks; numbness still present;

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