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This is VAERS ID 89155

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 89155
VAERS Form:
Age:64.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1995-1996 / PARKE-DAVIS - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: HYPOKINESIA, PAIN ABDO, LAB TEST ABNORM, PARALYSIS, MYASTHENIA

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type':

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 12/8/2009

VAERS ID: 89155 Before After
VAERS Form:
Age:64.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-20 1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1995-1996 INFLUENZA (SEASONAL) (FLUOGEN 95-96) / PARKE-DAVIS - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis, HYPOKINESIA, PAIN ABDO, LAB TEST ABNORM, PARALYSIS, MYASTHENIA

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': (blank) 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 8/31/2010

VAERS ID: 89155 Before After
VAERS Form:
Age:64.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 95-96) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 7/7/2013

VAERS ID: 89155 Before After
VAERS Form:
Age:64.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 5/14/2017

VAERS ID: 89155 Before After
VAERS Form:
Age:64.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 9/14/2017

VAERS ID: 89155 Before After
VAERS Form:(blank) 1
Age:64.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 2/14/2018

VAERS ID: 89155 Before After
VAERS Form:1
Age:64.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 6/14/2018

VAERS ID: 89155 Before After
VAERS Form:1
Age:64.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 8/14/2018

VAERS ID: 89155 Before After
VAERS Form:1
Age:64.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 9/14/2018

VAERS ID: 89155 Before After
VAERS Form:1
Age:64.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 10/14/2018

VAERS ID: 89155 Before After
VAERS Form:1
Age:64.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 12/10/2020

VAERS ID: 89155 Before After
VAERS Form:1
Age:64.0
Sex:Male
Location:Unknown Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 12/24/2020

VAERS ID: 89155 Before After
VAERS Form:1
Age:64.0
Sex:Male
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 12/30/2020

VAERS ID: 89155 Before After
VAERS Form:1
Age:64.0
Sex:Male
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 5/7/2021

VAERS ID: 89155 Before After
VAERS Form:1
Age:64.0
Sex:Male
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;


Changed on 5/14/2021

VAERS ID: 89155 Before After
VAERS Form:1
Age:64.0
Sex:Male
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-08-12
Entered:1996-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Hypokinesia, Laboratory test abnormal, Myasthenic syndrome, Paralysis

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: positive anti-GDIB titer;
CDC 'Split Type': 0010150960018

Write-up: pt recv vax & exp abd discomfort w/o diarrhea followed w/in day by progressive limb weakness & fasciculations that evolved over a 5-day period;pt parapatetic & then wheelchair bound;lab studies nl;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=89155&WAYBACKHISTORY=ON


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