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This is VAERS ID 94045

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 94045
VAERS Form:
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 / WYETH - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: FEVER, NAUSEA, PAIN, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 12/8/2009

VAERS ID: 94045 Before After
VAERS Form:
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-31 1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 INFLUENZA (SEASONAL) (FLUSHIELD 96-97) / WYETH WYETH PHARMACEUTICALS, INC - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia, FEVER, NAUSEA, PAIN, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 8/31/2010

VAERS ID: 94045 Before After
VAERS Form:
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 96-97) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 7/7/2013

VAERS ID: 94045 Before After
VAERS Form:
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 5/14/2017

VAERS ID: 94045 Before After
VAERS Form:
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 9/14/2017

VAERS ID: 94045 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 2/14/2018

VAERS ID: 94045 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 6/14/2018

VAERS ID: 94045 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 8/14/2018

VAERS ID: 94045 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 9/14/2018

VAERS ID: 94045 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 10/14/2018

VAERS ID: 94045 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 12/24/2020

VAERS ID: 94045 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 12/30/2020

VAERS ID: 94045 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 5/7/2021

VAERS ID: 94045 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;


Changed on 5/14/2021

VAERS ID: 94045 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1988-10-12
Onset:1988-11-17
Submitted:1996-12-20
Entered:1997-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Dysuria, Myasthenic syndrome, Myelitis, Nausea, Pain, Paraplegia, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 897009014L

Write-up: pt recv vax & w/in 35 days of vax pt devel nausea, elevated body temp, backache, weakness in the lower extremities, & diff urinating;dx of transverse myelitis was allegedly made on 13DEC88;pt exp pain & permanent paraplegia;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=94045&WAYBACKHISTORY=ON


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