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This is VAERS ID 66695

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 66695
VAERS Form:
Age:44.8
Sex:Female
Location:Michigan
Vaccinated:1993-10-28
Onset:1993-11-01
Submitted:1993-11-15
Entered:1994-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1993-1994 EVANS MED & LEDERLE / LEDERLE - / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: NEUROPATHY, PAIN, MYASTHENIA, REACT AGGRAV

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: NA
Other Medications: NA
Current Illness: on re-exam pt recovered from bronchitis
Preexisting Conditions: h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS;
Allergies:
Diagnostic Lab Data: EMG lt ulner neuropathy 10NOV93; (pt is lt hand dominant); pos tunnel synd 18NOV93; c-spine nl;
CDC 'Split Type': h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS;

Write-up: w/in 2-3 days p/vax pt had shoulder pain; however, had no inject site react; neuro consult was obtained EMG done 10NOV93 dx lt ulnar neuropathy; pt lost grip in lt hand 15NOV


Changed on 12/8/2009

VAERS ID: 66695 Before After
VAERS Form:
Age:44.8
Sex:Female
Location:Michigan
Vaccinated:1993-10-28
Onset:1993-11-01
Submitted:1993-11-15
Entered:1994-09-21 1994-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1993-1994 EVANS MED & LEDERLE INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LEDERLE LABORATORIES - / - LA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Condition aggravated, Myasthenic syndrome, Neuropathy, Pain, NEUROPATHY, PAIN, MYASTHENIA, REACT AGGRAV

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: NA
Other Medications: NA
Current Illness: on re-exam pt recovered from bronchitis
Preexisting Conditions: h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS;
Allergies:
Diagnostic Lab Data: EMG lt ulner neuropathy 10NOV93; (pt is lt hand dominant); pos tunnel synd 18NOV93; c-spine nl;
CDC 'Split Type': h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS; 930244601

Write-up: w/in 2-3 days p/vax pt had shoulder pain; however, had no inject site react; neuro consult was obtained EMG done 10NOV93 dx lt ulnar neuropathy; pt lost grip in lt hand 15NOV


Changed on 7/7/2013

VAERS ID: 66695 Before After
VAERS Form:
Age:44.8
Sex:Female
Location:Michigan
Vaccinated:1993-10-28
Onset:1993-11-01
Submitted:1993-11-15
Entered:1994-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - LA / IM
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Condition aggravated, Myasthenic syndrome, Neuropathy, Pain

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: NA
Other Medications: NA
Current Illness: on re-exam pt recovered from bronchitis
Preexisting Conditions: h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS;
Allergies:
Diagnostic Lab Data: EMG lt ulner neuropathy 10NOV93; (pt is lt hand dominant); pos tunnel synd 18NOV93; c-spine nl;
CDC 'Split Type': 930244601

Write-up: w/in 2-3 days p/vax pt had shoulder pain; however, had no inject site react; neuro consult was obtained EMG done 10NOV93 dx lt ulnar neuropathy; pt lost grip in lt hand 15NOV


Changed on 2/14/2017

VAERS ID: 66695 Before After
VAERS Form:
Age:44.8 44.0
Sex:Female
Location:Michigan
Vaccinated:1993-10-28
Onset:1993-11-01
Submitted:1993-11-15
Entered:1994-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Condition aggravated, Myasthenic syndrome, Neuropathy, Pain

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: NA
Other Medications: NA
Current Illness: on re-exam pt recovered from bronchitis
Preexisting Conditions: h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS;
Allergies:
Diagnostic Lab Data: EMG lt ulner neuropathy 10NOV93; (pt is lt hand dominant); pos tunnel synd 18NOV93; c-spine nl;
CDC 'Split Type': 930244601

Write-up: w/in 2-3 days p/vax pt had shoulder pain; however, had no inject site react; neuro consult was obtained EMG done 10NOV93 dx lt ulnar neuropathy; pt lost grip in lt hand 15NOV


Changed on 5/14/2017

VAERS ID: 66695 Before After
VAERS Form:
Age:44.0
Sex:Female
Location:Michigan
Vaccinated:1993-10-28
Onset:1993-11-01
Submitted:1993-11-15
Entered:1994-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH - / - LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Condition aggravated, Myasthenic syndrome, Neuropathy, Pain

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: NA NA~ ()~~~In patient
Other Medications: NA
Current Illness: on re-exam pt recovered from bronchitis
Preexisting Conditions: h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS;
Allergies:
Diagnostic Lab Data: EMG lt ulner neuropathy 10NOV93; (pt is lt hand dominant); pos tunnel synd 18NOV93; c-spine nl;
CDC 'Split Type': 930244601

Write-up: w/in 2-3 days p/vax pt had shoulder pain; however, had no inject site react; neuro consult was obtained EMG done 10NOV93 dx lt ulnar neuropathy; pt lost grip in lt hand 15NOV


Changed on 9/14/2017

VAERS ID: 66695 Before After
VAERS Form:(blank) 1
Age:44.0
Sex:Female
Location:Michigan
Vaccinated:1993-10-28
Onset:1993-11-01
Submitted:1993-11-15
Entered:1994-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH - / - UNK LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Condition aggravated, Myasthenic syndrome, Neuropathy, Pain

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: NA~ ()~~~In patient
Other Medications: NA
Current Illness: on re-exam pt recovered from bronchitis
Preexisting Conditions: h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS;
Allergies:
Diagnostic Lab Data: EMG lt ulner neuropathy 10NOV93; (pt is lt hand dominant); pos tunnel synd 18NOV93; c-spine nl;
CDC 'Split Type': 930244601

Write-up: w/in 2-3 days p/vax pt had shoulder pain; however, had no inject site react; neuro consult was obtained EMG done 10NOV93 dx lt ulnar neuropathy; pt lost grip in lt hand 15NOV


Changed on 2/14/2018

VAERS ID: 66695 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Michigan
Vaccinated:1993-10-28
Onset:1993-11-01
Submitted:1993-11-15
Entered:1994-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH - / UNK LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Condition aggravated, Myasthenic syndrome, Neuropathy, Pain

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: NA~ ()~~~In patient
Other Medications: NA
Current Illness: on re-exam pt recovered from bronchitis
Preexisting Conditions: h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS;
Allergies:
Diagnostic Lab Data: EMG lt ulner neuropathy 10NOV93; (pt is lt hand dominant); pos tunnel synd 18NOV93; c-spine nl;
CDC 'Split Type': 930244601

Write-up: w/in 2-3 days p/vax pt had shoulder pain; however, had no inject site react; neuro consult was obtained EMG done 10NOV93 dx lt ulnar neuropathy; pt lost grip in lt hand 15NOV


Changed on 6/14/2018

VAERS ID: 66695 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Michigan
Vaccinated:1993-10-28
Onset:1993-11-01
Submitted:1993-11-15
Entered:1994-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH - / UNK LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Condition aggravated, Myasthenic syndrome, Neuropathy, Pain

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: NA~ ()~~~In patient
Other Medications: NA
Current Illness: on re-exam pt recovered from bronchitis
Preexisting Conditions: h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS;
Allergies:
Diagnostic Lab Data: EMG lt ulner neuropathy 10NOV93; (pt is lt hand dominant); pos tunnel synd 18NOV93; c-spine nl;
CDC 'Split Type': 930244601

Write-up: w/in 2-3 days p/vax pt had shoulder pain; however, had no inject site react; neuro consult was obtained EMG done 10NOV93 dx lt ulnar neuropathy; pt lost grip in lt hand 15NOV


Changed on 8/14/2018

VAERS ID: 66695 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Michigan
Vaccinated:1993-10-28
Onset:1993-11-01
Submitted:1993-11-15
Entered:1994-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH - / UNK LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Condition aggravated, Myasthenic syndrome, Neuropathy, Pain

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: NA~ ()~~~In patient
Other Medications: NA
Current Illness: on re-exam pt recovered from bronchitis
Preexisting Conditions: h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS;
Allergies:
Diagnostic Lab Data: EMG lt ulner neuropathy 10NOV93; (pt is lt hand dominant); pos tunnel synd 18NOV93; c-spine nl;
CDC 'Split Type': 930244601

Write-up: w/in 2-3 days p/vax pt had shoulder pain; however, had no inject site react; neuro consult was obtained EMG done 10NOV93 dx lt ulnar neuropathy; pt lost grip in lt hand 15NOV


Changed on 9/14/2018

VAERS ID: 66695 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Michigan
Vaccinated:1993-10-28
Onset:1993-11-01
Submitted:1993-11-15
Entered:1994-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH - / UNK LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Condition aggravated, Myasthenic syndrome, Neuropathy, Pain

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: NA~ ()~~~In patient
Other Medications: NA
Current Illness: on re-exam pt recovered from bronchitis
Preexisting Conditions: h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS;
Allergies:
Diagnostic Lab Data: EMG lt ulner neuropathy 10NOV93; (pt is lt hand dominant); pos tunnel synd 18NOV93; c-spine nl;
CDC 'Split Type': 930244601

Write-up: w/in 2-3 days p/vax pt had shoulder pain; however, had no inject site react; neuro consult was obtained EMG done 10NOV93 dx lt ulnar neuropathy; pt lost grip in lt hand 15NOV


Changed on 10/14/2018

VAERS ID: 66695 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Michigan
Vaccinated:1993-10-28
Onset:1993-11-01
Submitted:1993-11-15
Entered:1994-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH - / UNK LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Condition aggravated, Myasthenic syndrome, Neuropathy, Pain

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: NA~ ()~~~In patient
Other Medications: NA
Current Illness: on re-exam pt recovered from bronchitis
Preexisting Conditions: h/o elevated enzymes; rt hip neurosis; hypothyroid; intermittant hematurai & alport''s synd (congenital renal disease); non-drinker; poss dx carpal tunnel synd related to occupation or GBS;
Allergies:
Diagnostic Lab Data: EMG lt ulner neuropathy 10NOV93; (pt is lt hand dominant); pos tunnel synd 18NOV93; c-spine nl;
CDC 'Split Type': 930244601

Write-up: w/in 2-3 days p/vax pt had shoulder pain; however, had no inject site react; neuro consult was obtained EMG done 10NOV93 dx lt ulnar neuropathy; pt lost grip in lt hand 15NOV

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=66695&WAYBACKHISTORY=ON


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