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This is VAERS ID 72173

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 72173
VAERS Form:
Age:46.7
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 / WYETH - / - - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: NEUROPATHY

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 12/8/2009

VAERS ID: 72173 Before After
VAERS Form:
Age:46.7 46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-03-27 1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 INFLUENZA (SEASONAL) (NO BRAND NAME, 93-94) / WYETH WYETH PHARMACEUTICALS, INC - / - - / IM

Administered by: Public Unknown      Purchased by: Unknown
Symptoms: Muscle atrophy, Neuropathy, NEUROPATHY

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 8/31/2010

VAERS ID: 72173 Before After
VAERS Form:
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 93-94) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 7/7/2013

VAERS ID: 72173 Before After
VAERS Form:
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 12/14/2016

VAERS ID: 72173 Before After
VAERS Form:
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 5/14/2017

VAERS ID: 72173 Before After
VAERS Form:
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Unknown Public      Purchased by: Unknown Public
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 9/14/2017

VAERS ID: 72173 Before After
VAERS Form:(blank) 1
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - UNK - / IM

Administered by: Public      Purchased by: Public
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 2/14/2018

VAERS ID: 72173 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Public      Purchased by: Public
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 6/14/2018

VAERS ID: 72173 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Public      Purchased by: Public
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 8/14/2018

VAERS ID: 72173 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Public      Purchased by: Public
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 9/14/2018

VAERS ID: 72173 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Public      Purchased by: Public
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 10/14/2018

VAERS ID: 72173 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Public      Purchased by: Public
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 12/24/2020

VAERS ID: 72173 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Public      Purchased by: Public
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 12/30/2020

VAERS ID: 72173 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Public      Purchased by: Public
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 5/7/2021

VAERS ID: 72173 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Public      Purchased by: Public
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;


Changed on 5/14/2021

VAERS ID: 72173 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Missouri
Vaccinated:1993-10-12
Onset:1994-04-01
Submitted:1994-11-11
Entered:1995-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Public      Purchased by: Public
Symptoms: Muscle atrophy, Neuropathy

Life Threatening? Yes
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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 894320002K

Write-up: pt recvd vax;next year in apr94 pt was dx w/ amyotrophic lateral sclerosis;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=72173&WAYBACKHISTORY=ON


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