National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 84798

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 84798
VAERS Form:
Age:42.6
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - RA / -

Administered by: Public      Purchased by: Unknown
Symptoms: HYPOKINESIA, ARTHRALGIA, EDEMA PERIPH, JOINT DIS, EXTRAPYR SYND

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type': NONE

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 12/8/2009

VAERS ID: 84798 Before After
VAERS Form:
Age:42.6
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-17 1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - RA / -

Administered by: Public      Purchased by: Unknown Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, Pain, HYPOKINESIA, ARTHRALGIA, EDEMA PERIPH, JOINT DIS, EXTRAPYR SYND

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type': NONE (blank)

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 7/7/2013

VAERS ID: 84798 Before After
VAERS Form:
Age:42.6
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 12/14/2016

VAERS ID: 84798 Before After
VAERS Form:
Age:42.6
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 2/14/2017

VAERS ID: 84798 Before After
VAERS Form:
Age:42.6 42.0
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 5/14/2017

VAERS ID: 84798 Before After
VAERS Form:
Age:42.0
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 9/14/2017

VAERS ID: 84798 Before After
VAERS Form:(blank) 1
Age:42.0
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 2/14/2018

VAERS ID: 84798 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 6/14/2018

VAERS ID: 84798 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 8/14/2018

VAERS ID: 84798 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 9/14/2018

VAERS ID: 84798 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 10/14/2018

VAERS ID: 84798 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 12/24/2020

VAERS ID: 84798 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 12/30/2020

VAERS ID: 84798 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 5/7/2021

VAERS ID: 84798 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand


Changed on 5/14/2021

VAERS ID: 84798 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Massachusetts
Vaccinated:1992-10-01
Onset:1992-10-01
Submitted:1996-04-09
Entered:1996-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Public      Purchased by: Other
Symptoms: Arthralgia, Arthropathy, Extrapyramidal disorder, Hypokinesia, Myalgia, Oedema peripheral, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT scan & MRI both of head were neg;
CDC 'Split Type':

Write-up: flu shot given OCT92 in rt arm;pt had intermittent pain in muscle for about 1yr;during that time rt arm, hand & shoulder deteriorated to point of diminished functioning;pt had Physical therapy & occupational therapy;lost use of arm and hand

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=84798&WAYBACKHISTORY=ON


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