![]() |
National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts Home |
History of Changes from the VAERS Wayback Machine |
VAERS ID: | 92037 |
VAERS Form: | |
Age: | 34.8 |
Sex: | Male |
Location: | New York |
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUOGEN 1996-1997 / PARKE-DAVIS | 00786P / 0 | A / IM |
Administered by: Private Purchased by: Unknown
Symptoms: HYPOTONIA, GUILLAIN BARRE SYND, MYASTHENIA, ATAXIA, HYPOXIA
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-20 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUOGEN 1996-1997 INFLUENZA (SEASONAL) (FLUOGEN 96-97) / PARKE-DAVIS | 00786P / 0 | A / IM |
Administered by: Private Purchased by: Unknown Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia, HYPOTONIA, GUILLAIN BARRE SYND, MYASTHENIA, ATAXIA, HYPOXIA
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUOGEN 96-97) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 0 | A / IM |
Administered by: Private Purchased by: Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 0 | A / IM |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 0 | A / IM |
Administered by: Private Purchased by: Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 0 | A / IM |
Administered by: Private Purchased by: Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 0 | A - / IM IM A |
Administered by: Private Purchased by: Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 0 1 | - / IM A |
Administered by: Private Purchased by: Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 1 | - / IM A |
Administered by: Private Purchased by: Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 1 | - / IM A |
Administered by: Private Purchased by: Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 1 | - / IM A |
Administered by: Private Purchased by: Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 1 | - / IM A |
Administered by: Private Purchased by: Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 1 | - / IM A |
Administered by: Private Purchased by: Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 1 | - / IM A |
Administered by: Private Purchased by: Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Vaccinated: | 1996-11-01 |
Onset: | 1996-11-11 |
Submitted: | 1996-11-12 |
Entered: | 1996-11-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 00786P / 1 | - / IM A |
Administered by: Private Purchased by: Other
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Hypotonia, Hypoxia, Myasthenic syndrome, Paraesthesia
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? Yes, days:
Write-up: pt recv vax & exp rt shoulder & upper arm numbness, loss of balance & weakness in legs on 11NOV96, 10 days p/vax pt went to MD & dx w/GBS;
Link To This Search Result:
https://medalerts.org/vaersdb/findfield.php?IDNUMBER=92037&WAYBACKHISTORY=ON
Copyright ©
2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166