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This is VAERS ID 69239

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 69239
VAERS Form:
Age:48.2
Sex:Female
Location:Idaho
Vaccinated:1994-10-17
Onset:1994-10-17
Submitted:1994-11-16
Entered:1994-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1994-1995 / CONNAUGHT LABS 4F51165 / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: MYALGIA, PAIN, MYASTHENIA

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? No
Previous Vaccinations: none
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': none;

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;


Changed on 12/8/2009

VAERS ID: 69239 Before After
VAERS Form:
Age:48.2
Sex:Female
Location:Idaho
Vaccinated:1994-10-17
Onset:1994-10-17
Submitted:1994-11-16
Entered:1994-12-09 1994-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1994-1995 INFLUENZA (SEASONAL) (FLUZONE 94-95) / CONNAUGHT LABS CONNAUGHT LABORATORIES 4F51165 / 0 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Myalgia, Myasthenic syndrome, Pain, MYALGIA, PAIN, MYASTHENIA

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? No
Previous Vaccinations: none
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': none; ID94072

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;


Changed on 8/31/2010

VAERS ID: 69239 Before After
VAERS Form:
Age:48.2
Sex:Female
Location:Idaho
Vaccinated:1994-10-17
Onset:1994-10-17
Submitted:1994-11-16
Entered:1994-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 94-95) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myalgia, Myasthenic syndrome, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: none
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': ID94072

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;


Changed on 7/7/2013

VAERS ID: 69239 Before After
VAERS Form:
Age:48.2
Sex:Female
Location:Idaho
Vaccinated:1994-10-17
Onset:1994-10-17
Submitted:1994-11-16
Entered:1994-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 0 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myalgia, Myasthenic syndrome, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: none
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': ID94072

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;


Changed on 2/14/2017

VAERS ID: 69239 Before After
VAERS Form:
Age:48.2 48.0
Sex:Female
Location:Idaho
Vaccinated:1994-10-17
Onset:1994-10-17
Submitted:1994-11-16
Entered:1994-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myalgia, Myasthenic syndrome, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: none
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': ID94072

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;


Changed on 5/14/2017

VAERS ID: 69239 Before After
VAERS Form:
Age:48.0
Sex:Female
Location:Idaho
Vaccinated:1994-10-17
Onset:1994-10-17
Submitted:1994-11-16
Entered:1994-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myalgia, Myasthenic syndrome, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: none none~ ()~~~In patient
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': ID94072

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;


Changed on 9/14/2017

VAERS ID: 69239 Before After
VAERS Form:(blank) 1
Age:48.0
Sex:Female
Location:Idaho
Vaccinated:1994-10-17
Onset:1994-10-17
Submitted:1994-11-16
Entered:1994-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 0 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myalgia, Myasthenic syndrome, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': ID94072

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;


Changed on 2/14/2018

VAERS ID: 69239 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Idaho
Vaccinated:1994-10-17
Onset:1994-10-17
Submitted:1994-11-16
Entered:1994-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myalgia, Myasthenic syndrome, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': ID94072

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;


Changed on 6/14/2018

VAERS ID: 69239 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Idaho
Vaccinated:1994-10-17
Onset:1994-10-17
Submitted:1994-11-16
Entered:1994-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myalgia, Myasthenic syndrome, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': ID94072

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;


Changed on 8/14/2018

VAERS ID: 69239 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Idaho
Vaccinated:1994-10-17
Onset:1994-10-17
Submitted:1994-11-16
Entered:1994-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myalgia, Myasthenic syndrome, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': ID94072

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;


Changed on 9/14/2018

VAERS ID: 69239 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Idaho
Vaccinated:1994-10-17
Onset:1994-10-17
Submitted:1994-11-16
Entered:1994-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myalgia, Myasthenic syndrome, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': ID94072

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;


Changed on 10/14/2018

VAERS ID: 69239 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Idaho
Vaccinated:1994-10-17
Onset:1994-10-17
Submitted:1994-11-16
Entered:1994-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myalgia, Myasthenic syndrome, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC 'Split Type': ID94072

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=69239&WAYBACKHISTORY=ON


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