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This is VAERS ID 59702

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 59702
VAERS Form:
Age:25.0
Sex:Female
Location:California
Vaccinated:1993-10-08
Onset:1993-10-10
Submitted:1993-11-12
Entered:1994-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1993-1994 EVANS MED & LEDERLE / LEDERLE E2243GC / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, MALAISE, CSF ABNORM

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;


Changed on 12/8/2009

VAERS ID: 59702 Before After
VAERS Form:
Age:25.0
Sex:Female
Location:California
Vaccinated:1993-10-08
Onset:1993-10-10
Submitted:1993-11-12
Entered:1994-02-16 1994-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1993-1994 EVANS MED & LEDERLE INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LEDERLE LABORATORIES E2243GC / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Guillain-Barre syndrome, Malaise, CSF test abnormal, GUILLAIN BARRE SYND, MALAISE, CSF ABNORM

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': (blank) 940012301

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;


Changed on 7/7/2013

VAERS ID: 59702 Before After
VAERS Form:
Age:25.0
Sex:Female
Location:California
Vaccinated:1993-10-08
Onset:1993-10-10
Submitted:1993-11-12
Entered:1994-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES E2243GC / 0 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES E2243GC / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Guillain-Barre syndrome, Malaise, CSF test abnormal

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 940012301

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;


Changed on 4/14/2014

VAERS ID: 59702 Before After
VAERS Form:
Age:25.0
Sex:Female
Location:California
Vaccinated:1993-10-08
Onset:1993-10-10
Submitted:1993-11-12
Entered:1994-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH E2243GC / 0 LA / IM

Administered by: Private Unknown      Purchased by: Private Unknown
Symptoms: Guillain-Barre syndrome, Malaise, CSF test abnormal

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA NA~ ()~~0.00~Patient
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 940012301 9400123

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;


Changed on 6/14/2014

VAERS ID: 59702 Before After
VAERS Form:
Age:25.0
Sex:Female
Location:California
Vaccinated:1993-10-08
Onset:1993-10-10
Submitted:1993-11-12
Entered:1994-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH E2243GC / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Malaise, CSF test abnormal

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~0.00~Patient
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 9400123

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;


Changed on 3/14/2015

VAERS ID: 59702 Before After
VAERS Form:
Age:25.0
Sex:Female
Location:California
Vaccinated:1993-10-08
Onset:1993-10-10
Submitted:1993-11-12
Entered:1994-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH E2243GC / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Malaise, CSF test abnormal

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~0.00~Patient
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 9400123

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;


Changed on 9/14/2017

VAERS ID: 59702 Before After
VAERS Form:(blank) 1
Age:25.0
Sex:Female
Location:California
Vaccinated:1993-10-08
Onset:1993-10-10
Submitted:1993-11-12
Entered:1994-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH E2243GC / 0 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Malaise, CSF test abnormal

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~0.00~Patient
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 9400123

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;


Changed on 2/14/2018

VAERS ID: 59702 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:California
Vaccinated:1993-10-08
Onset:1993-10-10
Submitted:1993-11-12
Entered:1994-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH E2243GC / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Malaise, CSF test abnormal

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~0.00~Patient
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 9400123

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;


Changed on 6/14/2018

VAERS ID: 59702 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:California
Vaccinated:1993-10-08
Onset:1993-10-10
Submitted:1993-11-12
Entered:1994-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH E2243GC / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Malaise, CSF test abnormal

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~0.00~Patient
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 9400123

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;


Changed on 8/14/2018

VAERS ID: 59702 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:California
Vaccinated:1993-10-08
Onset:1993-10-10
Submitted:1993-11-12
Entered:1994-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH E2243GC / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Malaise, CSF test abnormal

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~0.00~Patient
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 9400123

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;


Changed on 9/14/2018

VAERS ID: 59702 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:California
Vaccinated:1993-10-08
Onset:1993-10-10
Submitted:1993-11-12
Entered:1994-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH E2243GC / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Malaise, CSF test abnormal

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~0.00~Patient
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 9400123

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;


Changed on 10/14/2018

VAERS ID: 59702 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:California
Vaccinated:1993-10-08
Onset:1993-10-10
Submitted:1993-11-12
Entered:1994-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH E2243GC / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Malaise, CSF test abnormal

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~0.00~Patient
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 9400123

Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=59702&WAYBACKHISTORY=ON


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