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This is VAERS ID 92301

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 92301
VAERS Form:
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1994-1995 / WYETH - / 0 A / IM

Administered by: Other      Purchased by: Unknown
Symptoms: LAB TEST ABNORM

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

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 12/8/2009

VAERS ID: 92301 Before After
VAERS Form:
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-27 1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1994-1995 INFLUENZA (SEASONAL) (FLUSHIELD 94-95) / WYETH WYETH PHARMACEUTICALS, INC - / 0 A / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Laboratory test abnormal, LAB TEST ABNORM

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 8/31/2010

VAERS ID: 92301 Before After
VAERS Form:
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 94-95) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / 0 A / IM

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 7/7/2013

VAERS ID: 92301 Before After
VAERS Form:
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 0 A / IM
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 0 A / IM

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 5/14/2017

VAERS ID: 92301 Before After
VAERS Form:
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 0 A - / IM IM A

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 9/14/2017

VAERS ID: 92301 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 0 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 2/14/2018

VAERS ID: 92301 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 6/14/2018

VAERS ID: 92301 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 8/14/2018

VAERS ID: 92301 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 9/14/2018

VAERS ID: 92301 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 10/14/2018

VAERS ID: 92301 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 12/24/2020

VAERS ID: 92301 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 12/30/2020

VAERS ID: 92301 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 5/7/2021

VAERS ID: 92301 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;


Changed on 5/14/2021

VAERS ID: 92301 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1994-11-01
Onset:1996-11-01
Submitted:0000-00-00
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': 0010150960115

Write-up: pt recv vax tested positive for two viruses known as HTLV-1 & HTLV-2 commonly known as HIV;repeated testing by an infect disease specialist determined pt did not have these two viruses;pt claims suffered loss of ability to work;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=92301&WAYBACKHISTORY=ON


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