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This is VAERS ID 84327

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 84327
VAERS Form:
Age:54.2
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1989-1990 / PARKE-DAVIS 01209P / 1 A / -

Administered by: Private      Purchased by: Unknown
Symptoms: HYPOKINESIA, HYPERTONIA, GUILLAIN BARRE SYND, MYASTHENIA, DIABETES MELL

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: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 12/8/2009

VAERS ID: 84327 Before After
VAERS Form:
Age:54.2
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-04 1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1989-1990 INFLUENZA (SEASONAL) (FLUOGEN 89-90) / PARKE-DAVIS 01209P / 1 A / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, Pain, HYPOKINESIA, HYPERTONIA, GUILLAIN BARRE SYND, MYASTHENIA, DIABETES MELL

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: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 8/31/2010

VAERS ID: 84327 Before After
VAERS Form:
Age:54.2
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 89-90) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 1 A / -

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 7/7/2013

VAERS ID: 84327 Before After
VAERS Form:
Age:54.2
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 1 A / -
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 1 A / -

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 2/14/2017

VAERS ID: 84327 Before After
VAERS Form:
Age:54.2 54.0
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 1 A / -

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 5/14/2017

VAERS ID: 84327 Before After
VAERS Form:
Age:54.0
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 1 A - / - A

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 9/14/2017

VAERS ID: 84327 Before After
VAERS Form:(blank) 1
Age:54.0
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 1 2 - / A

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 2/14/2018

VAERS ID: 84327 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 2 - / A

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 6/14/2018

VAERS ID: 84327 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 2 - / A

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 8/14/2018

VAERS ID: 84327 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 2 - / A

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 9/14/2018

VAERS ID: 84327 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 2 - / A

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 10/14/2018

VAERS ID: 84327 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 2 - / A

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 12/24/2020

VAERS ID: 84327 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 2 - / A

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 12/30/2020

VAERS ID: 84327 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 2 - / A

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 5/7/2021

VAERS ID: 84327 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 2 - / A

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side


Changed on 5/14/2021

VAERS ID: 84327 Before After
VAERS Form:1
Age:54.0
Sex:Female
Location:Missouri
Vaccinated:1989-10-02
Onset:1989-10-08
Submitted:1995-11-01
Entered:1996-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01209P / 2 - / A

Administered by: Private      Purchased by: Other
Symptoms: Diabetes mellitus, Guillain-Barre syndrome, Hypertonia, Hypokinesia, Myasthenic syndrome, Nail disorder, Neuropathy, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zestril, Calan, Zantac & hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: GBS,muscle weakness & spasms insulin dependent diabetes (caused from medication given for GBS);muscle relaxants,physical therapy,pain med,antihypertensive,insulin,nerve medication;left w/nerve & muscle damage to legs & side

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