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This is VAERS ID 89892

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 89892
VAERS Form:
Age:52.6
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1995-1996 / WYETH 4958129 / 2 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: NEUROPATHY, MYALGIA, GAIT ABNORM, MYASTHENIA, NEURITIS

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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 12/8/2009

VAERS ID: 89892 Before After
VAERS Form:
Age:52.6
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-18 1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1995-1996 INFLUENZA (SEASONAL) (FLUSHIELD 95-96) / WYETH WYETH PHARMACEUTICALS, INC 4958129 / 2 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, Neuropathy, Pain, NEUROPATHY, MYALGIA, GAIT ABNORM, MYASTHENIA, NEURITIS

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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 8/31/2010

VAERS ID: 89892 Before After
VAERS Form:
Age:52.6
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 95-96) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4958129 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 7/7/2013

VAERS ID: 89892 Before After
VAERS Form:
Age:52.6
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 2 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 2/14/2017

VAERS ID: 89892 Before After
VAERS Form:
Age:52.6 52.0
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 5/14/2017

VAERS ID: 89892 Before After
VAERS Form:
Age:52.0
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 9/14/2017

VAERS ID: 89892 Before After
VAERS Form:(blank) 1
Age:52.0
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 2 3 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 2/14/2018

VAERS ID: 89892 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 3 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 6/14/2018

VAERS ID: 89892 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 3 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 8/14/2018

VAERS ID: 89892 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 3 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 9/14/2018

VAERS ID: 89892 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 3 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 10/14/2018

VAERS ID: 89892 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 3 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 12/24/2020

VAERS ID: 89892 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 3 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 12/30/2020

VAERS ID: 89892 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 3 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 5/7/2021

VAERS ID: 89892 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 3 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis


Changed on 5/14/2021

VAERS ID: 89892 Before After
VAERS Form:1
Age:52.0
Sex:Female
Location:Michigan
Vaccinated:1995-11-14
Onset:1996-02-06
Submitted:1996-06-14
Entered:1996-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958129 / 3 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Gait disturbance, Myalgia, Myasthenic syndrome, Neuritis, 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: 8     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ASA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI96113

Write-up: pt recv vax & 2wk post vax exp aching in arms & legs;6FEB96 left work w/diff walking & holding onto thing w/hands got progressively worse;saw MD 7FEB96 adm x 2 days r/o stroke d/c saw shop MD dx rxn to flu shot;pvt MD dx polyneuritis

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