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This is VAERS ID 92508

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 92508
VAERS Form:
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 12/8/2009

VAERS ID: 92508 Before After
VAERS Form:
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-04 1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, GUILLAIN BARRE SYND

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 7/7/2013

VAERS ID: 92508 Before After
VAERS Form:
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 12/14/2016

VAERS ID: 92508 Before After
VAERS Form:
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 5/14/2017

VAERS ID: 92508 Before After
VAERS Form:
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 9/14/2017

VAERS ID: 92508 Before After
VAERS Form:(blank) 1
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 2/14/2018

VAERS ID: 92508 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 6/14/2018

VAERS ID: 92508 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 8/14/2018

VAERS ID: 92508 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 9/14/2018

VAERS ID: 92508 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 10/14/2018

VAERS ID: 92508 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 12/24/2020

VAERS ID: 92508 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 12/30/2020

VAERS ID: 92508 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 5/7/2021

VAERS ID: 92508 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;


Changed on 5/14/2021

VAERS ID: 92508 Before After
VAERS Form:1
Age:67.0
Sex:Female
Location:Virginia
Vaccinated:0000-00-00
Onset:1996-11-03
Submitted:1996-11-18
Entered:1996-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI scan nl;spinal tap nl;S&T spine;
CDC 'Split Type':

Write-up: GBS secondary to flu vax;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=92508&WAYBACKHISTORY=ON


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