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This is VAERS ID 80190

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 80190
VAERS Form:
Age:34.9
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED 2243GC / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: NAUSEA, INJURY ACCID, GUILLAIN BARRE SYND, ASTHENIA, DEPRESSION

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: none reported
Other Medications: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': none reported

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 12/8/2009

VAERS ID: 80190 Before After
VAERS Form:
Age:34.9 34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-28 1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER 2243GC / - - / -

Administered by: Other Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting, NAUSEA, INJURY ACCID, GUILLAIN BARRE SYND, ASTHENIA, DEPRESSION

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: none reported
Other Medications: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': none reported ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 7/7/2013

VAERS ID: 80190 Before After
VAERS Form:
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 12/14/2016

VAERS ID: 80190 Before After
VAERS Form:
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 5/14/2017

VAERS ID: 80190 Before After
VAERS Form:
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / - - / -

Administered by: Unknown Other      Purchased by: Unknown Other
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 9/14/2017

VAERS ID: 80190 Before After
VAERS Form:(blank) 1
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 2/14/2018

VAERS ID: 80190 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 6/14/2018

VAERS ID: 80190 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 8/14/2018

VAERS ID: 80190 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 9/14/2018

VAERS ID: 80190 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 10/14/2018

VAERS ID: 80190 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 12/24/2020

VAERS ID: 80190 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 12/30/2020

VAERS ID: 80190 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 5/7/2021

VAERS ID: 80190 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;


Changed on 5/14/2021

VAERS ID: 80190 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Missouri
Vaccinated:1993-11-04
Onset:1993-11-04
Submitted:1995-12-21
Entered:1995-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 2243GC / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: unk
Current Illness: none
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: none reported;07Oct96-MFR f/u-nerve conduction tests showed a severe polyarthropathy,CSF exam - nl protein;
CDC 'Split Type': ALI95519

Write-up: pt recvd vax; exp abdo cramping,pain,nausea,vomiting p/ flu vax;hosp on 24dec93 & dx w/ acute GBS;exp full paralysis for 5 mo & then partial paralysis since may94;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=80190&WAYBACKHISTORY=ON


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