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This is VAERS ID 72276

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 72276
VAERS Form:
Age:29.7
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1994-1995 / WYETH 4948043 / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: NEUROPATHY, EDEMA, PAIN, PARESTHESIA, VASC DIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type':

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 12/8/2009

VAERS ID: 72276 Before After
VAERS Form:
Age:29.7
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-03-28 1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1994-1995 INFLUENZA (SEASONAL) (FLUSHIELD 94-95) / WYETH WYETH PHARMACEUTICALS, INC 4948043 / 0 LA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy, NEUROPATHY, EDEMA, PAIN, PARESTHESIA, VASC DIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': (blank) 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 8/31/2010

VAERS ID: 72276 Before After
VAERS Form:
Age:29.7
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 94-95) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4948043 / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 7/7/2013

VAERS ID: 72276 Before After
VAERS Form:
Age:29.7
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 0 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 2/14/2017

VAERS ID: 72276 Before After
VAERS Form:
Age:29.7 29.0
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 5/14/2017

VAERS ID: 72276 Before After
VAERS Form:
Age:29.0
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 9/14/2017

VAERS ID: 72276 Before After
VAERS Form:(blank) 1
Age:29.0
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 0 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 2/14/2018

VAERS ID: 72276 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 6/14/2018

VAERS ID: 72276 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 8/14/2018

VAERS ID: 72276 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 9/14/2018

VAERS ID: 72276 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 10/14/2018

VAERS ID: 72276 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 12/24/2020

VAERS ID: 72276 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 12/30/2020

VAERS ID: 72276 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 5/7/2021

VAERS ID: 72276 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;


Changed on 5/14/2021

VAERS ID: 72276 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Alabama
Vaccinated:1994-10-21
Onset:1994-10-21
Submitted:1994-10-27
Entered:1995-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948043 / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Neuropathy, Oedema, Pain, Paraesthesia, Angiopathy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: multiple operative procedures, MRI''s, EMG''s, physical therapy, & psychological couseling, stellate ganglion blocks, Beir blocks
CDC 'Split Type': 894306001K

Write-up: pt recvd vax & later that day devel numbness of the inj arm which improved until 4 days p/inj when condition worsened; seen by ER MD who noted poss edema; pt c/o burning sensation beginning near the shoulder & radiating down the arm;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=72276&WAYBACKHISTORY=ON


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