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This is VAERS ID 92401

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 92401
VAERS Form:
Age:43.8
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUVIRIN 1996-1997 / MEDEVA PHARMS LI E3096GB / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: MYELITIS, GI DIS, INCONTIN URIN, INCONTIN FECAL, PARAPLEGIA

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 12/8/2009

VAERS ID: 92401 Before After
VAERS Form:
Age:43.8
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-12-09 1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUVIRIN 1996-1997 INFLUENZA (SEASONAL) (FLUVIRIN 96-97) / MEDEVA PHARMS LI MEDEVA PHARMA, LTD. E3096GB / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence, MYELITIS, GI DIS, INCONTIN URIN, INCONTIN FECAL, PARAPLEGIA

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 8/31/2010

VAERS ID: 92401 Before After
VAERS Form:
Age:43.8
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUVIRIN 96-97) INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 7/7/2013

VAERS ID: 92401 Before After
VAERS Form:
Age:43.8
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 2/14/2017

VAERS ID: 92401 Before After
VAERS Form:
Age:43.8 43.0
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 5/14/2017

VAERS ID: 92401 Before After
VAERS Form:
Age:43.0
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 9/14/2017

VAERS ID: 92401 Before After
VAERS Form:(blank) 1
Age:43.0
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 2/14/2018

VAERS ID: 92401 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 6/14/2018

VAERS ID: 92401 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 8/14/2018

VAERS ID: 92401 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 9/14/2018

VAERS ID: 92401 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 10/14/2018

VAERS ID: 92401 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 12/24/2020

VAERS ID: 92401 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 12/30/2020

VAERS ID: 92401 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 5/7/2021

VAERS ID: 92401 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

Changed on 5/14/2021

VAERS ID: 92401 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:South Carolina
Vaccinated:1996-11-14
Onset:1996-11-15
Submitted:1996-11-21
Entered:1996-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E3096GB / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Faecal incontinence, Gastrointestinal disorder, Myelitis, Paraplegia, Urinary incontinence

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Adalat;Niacin
Current Illness: NONE
Preexisting Conditions: HTN, hyperlipidemia
Allergies:
Diagnostic Lab Data: MRI''s & LP completel nl;
CDC 'Split Type':

Write-up: transverse myelitis w/paraplegia, sensory loss to T3 & bowel;MRI head, C-spine, T-spine, L-S spine LP;pt transferred to nurse for tertiary care facility;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=92401&WAYBACKHISTORY=ON


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