National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 844360

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2019

VAERS ID: 844360
VAERS Form:2
Age:90.0
Sex:Male
Location:Illinois
Vaccinated:2019-10-07
Onset:2019-10-08
Submitted:0000-00-00
Entered:2019-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUA3: INFLUENZA (SEASONAL) (FLUAD) / NOVARTIS VACCINES AND DIAGNOSTICS 260389 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Areflexia, Asthenia, Diarrhoea, Guillain-Barre syndrome, Muscular weakness, Neck pain, Mechanical ventilation, Immunoglobulin therapy

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2019-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: NONE LISTED
Preexisting Conditions: Constipation, Degenerative Joint Disease, Chronic pain, Peripheral Arterial Occlusive Disease Allergies: NKA
Diagnostic Lab Data: unknown
CDC 'Split Type':

Write-up: Patient experienced neck pain and diarrhea which then progressed to weakness. On 10/16/19 daughter drove to hospital. Patient was transferred to Medical Center. Patient with weakness starting in lower extremities, then upper extremities, areflexic bilateral upper and lower. Dx w/Guillain-Barre Sysndrome. Patient on ventilator support and receiving immunoglobulin


Changed on 12/24/2020

VAERS ID: 844360 Before After
VAERS Form:2
Age:90.0
Sex:Male
Location:Illinois
Vaccinated:2019-10-07
Onset:2019-10-08
Submitted:0000-00-00
Entered:2019-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUA3: INFLUENZA (SEASONAL) (FLUAD) / NOVARTIS VACCINES AND DIAGNOSTICS 260389 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Areflexia, Asthenia, Diarrhoea, Guillain-Barre syndrome, Muscular weakness, Neck pain, Mechanical ventilation, Immunoglobulin therapy

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2019-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: NONE LISTED
Preexisting Conditions: Constipation, Degenerative Joint Disease, Chronic pain, Peripheral Arterial Occlusive Disease Allergies: NKA NKA
Diagnostic Lab Data: unknown
CDC 'Split Type':

Write-up: Patient experienced neck pain and diarrhea which then progressed to weakness. On 10/16/19 daughter drove to hospital. Patient was transferred to Medical Center. Patient with weakness starting in lower extremities, then upper extremities, areflexic bilateral upper and lower. Dx w/Guillain-Barre Sysndrome. Patient on ventilator support and receiving immunoglobulin


Changed on 12/30/2020

VAERS ID: 844360 Before After
VAERS Form:2
Age:90.0
Sex:Male
Location:Illinois
Vaccinated:2019-10-07
Onset:2019-10-08
Submitted:0000-00-00
Entered:2019-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUA3: INFLUENZA (SEASONAL) (FLUAD) / NOVARTIS VACCINES AND DIAGNOSTICS 260389 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Areflexia, Asthenia, Diarrhoea, Guillain-Barre syndrome, Muscular weakness, Neck pain, Mechanical ventilation, Immunoglobulin therapy

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2019-10-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: NONE LISTED
Preexisting Conditions: Constipation, Degenerative Joint Disease, Chronic pain, Peripheral Arterial Occlusive Disease Allergies: NKA NKA
Diagnostic Lab Data: unknown
CDC 'Split Type':

Write-up: Patient experienced neck pain and diarrhea which then progressed to weakness. On 10/16/19 daughter drove to hospital. Patient was transferred to Medical Center. Patient with weakness starting in lower extremities, then upper extremities, areflexic bilateral upper and lower. Dx w/Guillain-Barre Sysndrome. Patient on ventilator support and receiving immunoglobulin

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=844360&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166