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This is VAERS ID 89533

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 89533
VAERS Form:
Age:57.8
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1995-1996 / PARKE-DAVIS 00885P / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: HYPOTONIA, INFECT, GUILLAIN BARRE SYND, PARALYSIS, LUNG DIS

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': back & neck pain

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 12/8/2009

VAERS ID: 89533 Before After
VAERS Form:
Age:57.8
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-05 1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1995-1996 INFLUENZA (SEASONAL) (FLUOGEN 95-96) / PARKE-DAVIS 00885P / 0 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence, HYPOTONIA, INFECT, GUILLAIN BARRE SYND, PARALYSIS, LUNG DIS

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': back & neck pain OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 8/31/2010

VAERS ID: 89533 Before After
VAERS Form:
Age:57.8
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 95-96) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 7/7/2013

VAERS ID: 89533 Before After
VAERS Form:
Age:57.8
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 0 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 2/14/2017

VAERS ID: 89533 Before After
VAERS Form:
Age:57.8 57.0
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 5/14/2017

VAERS ID: 89533 Before After
VAERS Form:
Age:57.0
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot; shot;~ ()~~~In patient
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 9/14/2017

VAERS ID: 89533 Before After
VAERS Form:(blank) 1
Age:57.0
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 0 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;~ ()~~~In patient
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 2/14/2018

VAERS ID: 89533 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;~ ()~~~In patient
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 6/14/2018

VAERS ID: 89533 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;~ ()~~~In patient
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 8/14/2018

VAERS ID: 89533 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;~ ()~~~In patient
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 9/14/2018

VAERS ID: 89533 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;~ ()~~~In patient
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 10/14/2018

VAERS ID: 89533 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;~ ()~~~In patient
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 12/24/2020

VAERS ID: 89533 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;~ ()~~~In patient
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 12/30/2020

VAERS ID: 89533 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;~ ()~~~In patient
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 5/7/2021

VAERS ID: 89533 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;~ ()~~~In patient
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;


Changed on 5/14/2021

VAERS ID: 89533 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Ohio
Vaccinated:1995-11-16
Onset:1996-01-13
Submitted:1996-07-19
Entered:1996-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00885P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Guillain-Barre syndrome, Hypotonia, Infection, Lung disorder, Paralysis, Pneumonia, Somnolence

Life Threatening? Yes
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: 169     Extended hospital stay? Yes
Previous Vaccinations: pt exp GBS @ 57yr old w/flu shot;~ ()~~~In patient
Other Medications: pain
Current Illness: NONE
Preexisting Conditions: back & neck pain
Allergies:
Diagnostic Lab Data: many
CDC 'Split Type': OH96125

Write-up: pt recv vax & went limp, slept most of the day, couldn''t use rt arm-couldn''t use anything;to MD poss GBS;also devel collapsed lung, & a bed sore & double P;pt cannot do anything for self;

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