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This is VAERS ID 59270

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 59270
VAERS Form:
Age:49.3
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 / WYETH 4938280 / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, MYALGIA, LEUKOCYTOSIS, ESR INC, ATROPHY MUSCLE

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? No
Previous Vaccinations:
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;


Changed on 12/8/2009

VAERS ID: 59270 Before After
VAERS Form:
Age:49.3
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-29 1994-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 INFLUENZA (SEASONAL) (NO BRAND NAME, 93-94) / WYETH WYETH PHARMACEUTICALS, INC 4938280 / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Leukocytosis, Muscle atrophy, Myalgia, Myasthenic syndrome, Pain, Pyrexia, Thrombocythaemia, Red blood cell sedimentation rate increased, FEVER, MYALGIA, LEUKOCYTOSIS, ESR INC, ATROPHY MUSCLE

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? No
Previous Vaccinations:
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;


Changed on 8/31/2010

VAERS ID: 59270 Before After
VAERS Form:
Age:49.3
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 93-94) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4938280 / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Leukocytosis, Muscle atrophy, Myalgia, Myasthenic syndrome, Pain, Pyrexia, Thrombocythaemia, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations:
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;


Changed on 7/7/2013

VAERS ID: 59270 Before After
VAERS Form:
Age:49.3
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938280 / 0 LA / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938280 / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Leukocytosis, Muscle atrophy, Myalgia, Myasthenic syndrome, Pain, Pyrexia, Thrombocythaemia, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations:
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;


Changed on 12/14/2016

VAERS ID: 59270 Before After
VAERS Form:
Age:49.3
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938280 / 0 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938280 / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Leukocytosis, Muscle atrophy, Myalgia, Myasthenic syndrome, Pain, Pyrexia, Thrombocythaemia, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations:
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;


Changed on 2/14/2017

VAERS ID: 59270 Before After
VAERS Form:
Age:49.3 49.0
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938280 / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Leukocytosis, Muscle atrophy, Myalgia, Myasthenic syndrome, Pain, Pyrexia, Thrombocythaemia, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations:
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;


Changed on 5/14/2017

VAERS ID: 59270 Before After
VAERS Form:
Age:49.0
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938280 / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Leukocytosis, Muscle atrophy, Myalgia, Myasthenic syndrome, Pain, Pyrexia, Thrombocythaemia, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;


Changed on 9/14/2017

VAERS ID: 59270 Before After
VAERS Form:(blank) 1
Age:49.0
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938280 / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Leukocytosis, Muscle atrophy, Myalgia, Myasthenic syndrome, Pain, Pyrexia, Thrombocythaemia, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;


Changed on 2/14/2018

VAERS ID: 59270 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938280 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Leukocytosis, Muscle atrophy, Myalgia, Myasthenic syndrome, Pain, Pyrexia, Thrombocythaemia, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;


Changed on 6/14/2018

VAERS ID: 59270 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938280 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Leukocytosis, Muscle atrophy, Myalgia, Myasthenic syndrome, Pain, Pyrexia, Thrombocythaemia, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;


Changed on 8/14/2018

VAERS ID: 59270 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938280 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Leukocytosis, Muscle atrophy, Myalgia, Myasthenic syndrome, Pain, Pyrexia, Thrombocythaemia, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;


Changed on 9/14/2018

VAERS ID: 59270 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938280 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Leukocytosis, Muscle atrophy, Myalgia, Myasthenic syndrome, Pain, Pyrexia, Thrombocythaemia, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;


Changed on 10/14/2018

VAERS ID: 59270 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Washington
Vaccinated:1993-11-24
Onset:1993-11-26
Submitted:1994-01-18
Entered:1994-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4938280 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Leukocytosis, Muscle atrophy, Myalgia, Myasthenic syndrome, Pain, Pyrexia, Thrombocythaemia, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Ogen, Provera
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: WBC 13.6; plt 485K; ESR 36; CPK, SOGT-nl EMG nerve conduction-nl;
CDC 'Split Type':

Write-up: severe myalgias, fever, w/subsequent weakness/pain of lt upper & lower extremities; progressive weakness w/muscle atorphy; sx began 48 hrs p/vax;

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