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This is VAERS ID 65092

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 65092
VAERS Form:
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1989-1990 / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, HEPATITIS, MYASTHENIA, ANEMIA, KIDNEY CALCULUS

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:
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type':

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 12/8/2009

VAERS ID: 65092 Before After
VAERS Form:
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-08-02 1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1989-1990 INFLUENZA (SEASONAL) (FLUOGEN 89-90) / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis, GUILLAIN BARRE SYND, HEPATITIS, MYASTHENIA, ANEMIA, KIDNEY CALCULUS

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:
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': (blank) 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 8/31/2010

VAERS ID: 65092 Before After
VAERS Form:
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 89-90) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis

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:
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 4/13/2011

VAERS ID: 65092 Before After
VAERS Form:
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis

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:
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 5/13/2011

VAERS ID: 65092 Before After
VAERS Form:
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis

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:
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 6/11/2011

VAERS ID: 65092 Before After
VAERS Form:
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis

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:
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 7/7/2013

VAERS ID: 65092 Before After
VAERS Form:
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis

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:
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 5/14/2017

VAERS ID: 65092 Before After
VAERS Form:
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis

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: ~ ()~~~In patient
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 9/14/2017

VAERS ID: 65092 Before After
VAERS Form:(blank) 1
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis

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: ~ ()~~~In patient
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 2/14/2018

VAERS ID: 65092 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis

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: ~ ()~~~In patient
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 6/14/2018

VAERS ID: 65092 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis

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: ~ ()~~~In patient
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 8/14/2018

VAERS ID: 65092 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis

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: ~ ()~~~In patient
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 9/14/2018

VAERS ID: 65092 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis

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: ~ ()~~~In patient
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes


Changed on 10/14/2018

VAERS ID: 65092 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:1989-12-01
Onset:1989-12-23
Submitted:1993-06-02
Entered:1994-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Guillain-Barre syndrome, Hepatitis, Myasthenic syndrome, Myelitis, Nephrolithiasis, Paraesthesia, Paralysis

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: ~ ()~~~In patient
Other Medications: Synthroid, Provera, Premarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: x-ray compression of T12 & L1; MRI spinal & throracic-neg; nerve conduction test; eletrophysical eval
CDC 'Split Type': 24168

Write-up: GBS reported in a pt who recvd flu vax; pt taken to ER w/muscle weakness & lt leg & foot numbness; x-ray revealed compression of t12 & L1 interspacce; pt dx''d w/muscular strain & told to return if felt worse; pain in lower lt back & numbnes

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=65092&WAYBACKHISTORY=ON


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