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This is VAERS ID 92634

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 92634
VAERS Form:
Age:44.3
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: HYPOKINESIA, FEVER, TREMOR, MALAISE

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 12/8/2009

VAERS ID: 92634 Before After
VAERS Form:
Age:44.3
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-12 1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor, HYPOKINESIA, FEVER, TREMOR, MALAISE

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 7/7/2013

VAERS ID: 92634 Before After
VAERS Form:
Age:44.3
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 12/14/2016

VAERS ID: 92634 Before After
VAERS Form:
Age:44.3
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 2/14/2017

VAERS ID: 92634 Before After
VAERS Form:
Age:44.3 44.0
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 5/14/2017

VAERS ID: 92634 Before After
VAERS Form:
Age:44.0
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 9/14/2017

VAERS ID: 92634 Before After
VAERS Form:(blank) 1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 2/14/2018

VAERS ID: 92634 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 6/14/2018

VAERS ID: 92634 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 8/14/2018

VAERS ID: 92634 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 9/14/2018

VAERS ID: 92634 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 10/14/2018

VAERS ID: 92634 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 12/24/2020

VAERS ID: 92634 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 12/30/2020

VAERS ID: 92634 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 5/7/2021

VAERS ID: 92634 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;


Changed on 5/14/2021

VAERS ID: 92634 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1980-02-01
Onset:1980-03-01
Submitted:1996-12-03
Entered:1996-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Malaise, Pyrexia, Tremor

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? Yes, days: 90     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & got real sick w/fever, couldn''t sit w/o falling;had all kind of test;pt hosp;pt states can''t hold anything in hand because of the shaking;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=92634&WAYBACKHISTORY=ON


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