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This is VAERS ID 81459

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 81459
VAERS Form:
Age:3.0
Sex:Female
Location:Foreign
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 95-96) / WYETH PHARMACEUTICALS, INC 4858102 / - - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 8/31/2010

VAERS ID: 81459 Before After
VAERS Form:
Age:3.0
Sex:Female
Location:Foreign
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 95-96) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4858102 / - - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 7/7/2013

VAERS ID: 81459 Before After
VAERS Form:
Age:3.0
Sex:Female
Location:Foreign
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / - - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 5/14/2017

VAERS ID: 81459 Before After
VAERS Form:
Age:3.0
Sex:Female
Location:Foreign
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / - - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 9/14/2017

VAERS ID: 81459 Before After
VAERS Form:(blank) 1
Age:3.0
Sex:Female
Location:Foreign
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / - UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 2/14/2018

VAERS ID: 81459 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Foreign
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 6/14/2018

VAERS ID: 81459 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Foreign
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 8/14/2018

VAERS ID: 81459 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Foreign
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 9/14/2018

VAERS ID: 81459 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Foreign
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 10/14/2018

VAERS ID: 81459 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Foreign
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 12/10/2020

VAERS ID: 81459 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Foreign Arkansas
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 12/24/2020

VAERS ID: 81459 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Arkansas
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 12/30/2020

VAERS ID: 81459 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Arkansas
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 5/7/2021

VAERS ID: 81459 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Arkansas
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;


Changed on 5/14/2021

VAERS ID: 81459 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Arkansas
Vaccinated:1995-10-28
Onset:1995-10-31
Submitted:1996-01-30
Entered:1996-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4858102 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Diarrhoea, Hyponatraemia, Lung disorder, Pyrexia, Respiratory disorder

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? Yes, days: 86     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: febrile
Preexisting Conditions: premature birth w/trachial tube in place
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': ALI96031

Write-up: pt recvd vax & exp febrile convuls leading to brain damage p/vax;OCT95 pt exp sz d/t dehydration & low sodium & was adm to hosp x3-4days;28OCT95 exp diarrhea & resp illness including fever;t106;pt exp sz & coma resulted in 3/4 brain damage;

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