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This is VAERS ID 91916

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 91916
VAERS Form:
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 / WYETH - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: NEUROPATHY, SCLEROSIS MULT, BABINSKI SIGN POS

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type': NONE

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 12/8/2009

VAERS ID: 91916 Before After
VAERS Form:
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-15 1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 INFLUENZA (SEASONAL) (NO BRAND NAME, 93-94) / WYETH WYETH PHARMACEUTICALS, INC - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy, NEUROPATHY, SCLEROSIS MULT, BABINSKI SIGN POS

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type': NONE (blank)

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 8/31/2010

VAERS ID: 91916 Before After
VAERS Form:
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 93-94) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type':

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 7/7/2013

VAERS ID: 91916 Before After
VAERS Form:
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type':

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 12/14/2016

VAERS ID: 91916 Before After
VAERS Form:
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type':

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 5/14/2017

VAERS ID: 91916 Before After
VAERS Form:
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy

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? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type':

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 9/14/2017

VAERS ID: 91916 Before After
VAERS Form:(blank) 1
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type':

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 2/14/2018

VAERS ID: 91916 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type':

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 6/14/2018

VAERS ID: 91916 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type':

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 8/14/2018

VAERS ID: 91916 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type':

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 9/14/2018

VAERS ID: 91916 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type':

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 10/14/2018

VAERS ID: 91916 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type':

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 12/24/2020

VAERS ID: 91916 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type':

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;


Changed on 12/30/2020

VAERS ID: 91916 Before After
VAERS Form:1
Age:57.0
Sex:Female
Location:Missouri
Vaccinated:1993-10-01
Onset:1993-11-01
Submitted:1996-11-06
Entered:1996-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Extensor plantar response, Multiple sclerosis, Neuropathy

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI & LP
CDC 'Split Type':

Write-up: neurological sx-3wk p/vax lasted 3-4months-later dx w/multiple sclerosis @ age 57-no prior hx;no subsequent similar event in last 3yr;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=91916&WAYBACKHISTORY=ON


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