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This is VAERS ID 603499

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2015

VAERS ID: 603499
VAERS Form:
Age:75.0
Gender:Female
Location:Vermont
Vaccinated:2015-10-02
Onset:2015-10-02
Submitted:2015-10-20
Entered:2015-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS L94EX / 2 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Muscular weakness, Pain in extremity, Restless legs syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Leg pain, restless legs, progressive weakness of extremities, neck, difficulty breathing.


Changed on 9/14/2017

VAERS ID: 603499 Before After
VAERS Form:(blank) 1
Age:75.0
Gender:Female
Location:Vermont
Vaccinated:2015-10-02
Onset:2015-10-02
Submitted:2015-10-20
Entered:2015-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS L94EX / 2 3 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Muscular weakness, Pain in extremity, Restless legs syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Leg pain, restless legs, progressive weakness of extremities, neck, difficulty breathing.


Changed on 2/14/2018

VAERS ID: 603499 Before After
VAERS Form:1
Age:75.0
Gender:Female
Location:Vermont
Vaccinated:2015-10-02
Onset:2015-10-02
Submitted:2015-10-20
Entered:2015-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS L94EX / 3 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Muscular weakness, Pain in extremity, Restless legs syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Leg pain, restless legs, progressive weakness of extremities, neck, difficulty breathing.


Changed on 6/14/2018

VAERS ID: 603499 Before After
VAERS Form:1
Age:75.0
Gender:Female
Location:Vermont
Vaccinated:2015-10-02
Onset:2015-10-02
Submitted:2015-10-20
Entered:2015-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS L94EX / 3 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Muscular weakness, Pain in extremity, Restless legs syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Leg pain, restless legs, progressive weakness of extremities, neck, difficulty breathing.


Changed on 8/14/2018

VAERS ID: 603499 Before After
VAERS Form:1
Age:75.0
Gender:Female
Location:Vermont
Vaccinated:2015-10-02
Onset:2015-10-02
Submitted:2015-10-20
Entered:2015-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS L94EX / 3 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Muscular weakness, Pain in extremity, Restless legs syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Leg pain, restless legs, progressive weakness of extremities, neck, difficulty breathing.


Changed on 9/14/2018

VAERS ID: 603499 Before After
VAERS Form:1
Age:75.0
Gender:Female
Location:Vermont
Vaccinated:2015-10-02
Onset:2015-10-02
Submitted:2015-10-20
Entered:2015-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS L94EX / 3 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Muscular weakness, Pain in extremity, Restless legs syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Leg pain, restless legs, progressive weakness of extremities, neck, difficulty breathing.

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