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This is VAERS ID 93534

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 93534
VAERS Form:
Age:32.6
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1996-1997 / PARKE-DAVIS 00176P / 0 A / IM

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, SWEAT, DIARRHEA, PARALYSIS, REFLEXES DEC

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type':

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 12/8/2009

VAERS ID: 93534 Before After
VAERS Form:
Age:32.6
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1996-1997 INFLUENZA (SEASONAL) (FLUOGEN 96-97) / PARKE-DAVIS 00176P / 0 A / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased, FEVER, SWEAT, DIARRHEA, PARALYSIS, REFLEXES DEC

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': (blank) 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 8/31/2010

VAERS ID: 93534 Before After
VAERS Form:
Age:32.6
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 96-97) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 0 A / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 7/7/2013

VAERS ID: 93534 Before After
VAERS Form:
Age:32.6
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 0 A / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 0 A / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 2/14/2017

VAERS ID: 93534 Before After
VAERS Form:
Age:32.6 32.0
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 0 A / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 5/14/2017

VAERS ID: 93534 Before After
VAERS Form:
Age:32.0
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 0 A - / IM IM A

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 9/14/2017

VAERS ID: 93534 Before After
VAERS Form:(blank) 1
Age:32.0
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 0 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 2/14/2018

VAERS ID: 93534 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 6/14/2018

VAERS ID: 93534 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 8/14/2018

VAERS ID: 93534 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 9/14/2018

VAERS ID: 93534 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 10/14/2018

VAERS ID: 93534 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 12/24/2020

VAERS ID: 93534 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 12/30/2020

VAERS ID: 93534 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 5/7/2021

VAERS ID: 93534 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para


Changed on 5/14/2021

VAERS ID: 93534 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:Idaho
Vaccinated:1996-11-05
Onset:1996-11-07
Submitted:1996-12-17
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00176P / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Hyperhidrosis, Hyporeflexia, Paralysis, Pyrexia, Vomiting, Weight decreased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: adverse event following prior vax: flu sx
Allergies:
Diagnostic Lab Data: MRI (BRAIN, CERVICAL,THORACIC)-neg; spinal tap-neg
CDC 'Split Type': 0010150960152

Write-up: pt exp intense vomiting & diarrhea for 3 days post vax & partial left arm paralysis, sweating & low grade fever. pt also had a 20 lb weight loss but has regained 8 lb. nerves there/ no reflexes. pt has not recovered from left arm para

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