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This is VAERS ID 93537

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 93537
VAERS Form:
Age:71.7
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 / WYETH 4968170 / - RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: PARESTHESIA, LAB TEST ABNORM, MYELITIS, MYASTHENIA

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type':

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 12/8/2009

VAERS ID: 93537 Before After
VAERS Form:
Age:71.7
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 INFLUENZA (SEASONAL) (FLUSHIELD 96-97) / WYETH WYETH PHARMACEUTICALS, INC 4968170 / - RA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia, PARESTHESIA, LAB TEST ABNORM, MYELITIS, MYASTHENIA

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': (blank) VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 8/31/2010

VAERS ID: 93537 Before After
VAERS Form:
Age:71.7
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 96-97) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4968170 / - RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 7/7/2013

VAERS ID: 93537 Before After
VAERS Form:
Age:71.7
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / - RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / - RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 2/14/2017

VAERS ID: 93537 Before After
VAERS Form:
Age:71.7 71.0
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / - RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 5/14/2017

VAERS ID: 93537 Before After
VAERS Form:
Age:71.0
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / - RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 9/14/2017

VAERS ID: 93537 Before After
VAERS Form:(blank) 1
Age:71.0
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / - UNK RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 2/14/2018

VAERS ID: 93537 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / UNK RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 6/14/2018

VAERS ID: 93537 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / UNK RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 8/14/2018

VAERS ID: 93537 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / UNK RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 9/14/2018

VAERS ID: 93537 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / UNK RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 10/14/2018

VAERS ID: 93537 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / UNK RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 12/24/2020

VAERS ID: 93537 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / UNK RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 12/30/2020

VAERS ID: 93537 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / UNK RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 5/7/2021

VAERS ID: 93537 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / UNK RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.


Changed on 5/14/2021

VAERS ID: 93537 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Vermont
Vaccinated:1996-10-18
Onset:1996-10-19
Submitted:1996-12-04
Entered:1997-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / UNK RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Myelitis, Paraesthesia

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:
Allergies:
Diagnostic Lab Data: MRI of entire spine; CT scan head WNL. LP-high protein, al IgG. EMG WNL
CDC 'Split Type': VT96004

Write-up: ascending paresthesias, left leg weakness w/ transverse myelitis: hosp for 5 days sudomedrol. sx occurred w. 36 hr of influenza vax; no other expandable cause for sx.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=93537&WAYBACKHISTORY=ON

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