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This is VAERS ID 94613

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 94613
VAERS Form:
Age:72.3
Sex:Female
Location:Virginia
Vaccinated:1996-11-25
Onset:1997-01-06
Submitted:1997-01-22
Entered:1997-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 / WYETH 4968170 / 6 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: PARESTHESIA, MYELITIS, CSF ABNORM, PARAPLEGIA

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: 8     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: Cordizen, Insulin, Trental
Current Illness: diabetes, HTN, periph vasc disease
Preexisting Conditions: diabetes, HTN, peripheral vascular disease
Allergies:
Diagnostic Lab Data: CSF w/elevated protein otherwise negative x/for few WACS;MRI w/ inc signal for T5-T10;
CDC 'Split Type': diabetes, HTN, peripheral vascular disease

Write-up: dx w/acute transverse myelitis-hosp from 9JAN97-17JAN97 then transported to a rehab facility w/lower extremities paraplegic & numbness up to T4/t% level;


Changed on 12/8/2009

VAERS ID: 94613 Before After
VAERS Form:
Age:72.3
Sex:Female
Location:Virginia
Vaccinated:1996-11-25
Onset:1997-01-06
Submitted:1997-01-22
Entered:1997-02-06 1997-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 INFLUENZA (SEASONAL) (FLUSHIELD 96-97) / WYETH WYETH PHARMACEUTICALS, INC 4968170 / 6 RA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Myelitis, Paraesthesia, Paraplegia, CSF test abnormal, PARESTHESIA, MYELITIS, CSF ABNORM, PARAPLEGIA

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: 8     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: Cordizen, Insulin, Trental
Current Illness: diabetes, HTN, periph vasc disease
Preexisting Conditions: diabetes, HTN, peripheral vascular disease
Allergies:
Diagnostic Lab Data: CSF w/elevated protein otherwise negative x/for few WACS;MRI w/ inc signal for T5-T10;
CDC 'Split Type': diabetes, HTN, peripheral vascular disease VA97036

Write-up: dx w/acute transverse myelitis-hosp from 9JAN97-17JAN97 then transported to a rehab facility w/lower extremities paraplegic & numbness up to T4/t% level;


Changed on 8/31/2010

VAERS ID: 94613 Before After
VAERS Form:
Age:72.3
Sex:Female
Location:Virginia
Vaccinated:1996-11-25
Onset:1997-01-06
Submitted:1997-01-22
Entered:1997-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 96-97) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4968170 / 6 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myelitis, Paraesthesia, Paraplegia, CSF test abnormal

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: 8     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: Cordizen, Insulin, Trental
Current Illness: diabetes, HTN, periph vasc disease
Preexisting Conditions: diabetes, HTN, peripheral vascular disease
Allergies:
Diagnostic Lab Data: CSF w/elevated protein otherwise negative x/for few WACS;MRI w/ inc signal for T5-T10;
CDC 'Split Type': VA97036

Write-up: dx w/acute transverse myelitis-hosp from 9JAN97-17JAN97 then transported to a rehab facility w/lower extremities paraplegic & numbness up to T4/t% level;


Changed on 7/7/2013

VAERS ID: 94613 Before After
VAERS Form:
Age:72.3
Sex:Female
Location:Virginia
Vaccinated:1996-11-25
Onset:1997-01-06
Submitted:1997-01-22
Entered:1997-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / 6 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / 6 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myelitis, Paraesthesia, Paraplegia, CSF test abnormal

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: 8     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: Cordizen, Insulin, Trental
Current Illness: diabetes, HTN, periph vasc disease
Preexisting Conditions: diabetes, HTN, peripheral vascular disease
Allergies:
Diagnostic Lab Data: CSF w/elevated protein otherwise negative x/for few WACS;MRI w/ inc signal for T5-T10;
CDC 'Split Type': VA97036

Write-up: dx w/acute transverse myelitis-hosp from 9JAN97-17JAN97 then transported to a rehab facility w/lower extremities paraplegic & numbness up to T4/t% level;


Changed on 2/14/2017

VAERS ID: 94613 Before After
VAERS Form:
Age:72.3 72.0
Sex:Female
Location:Virginia
Vaccinated:1996-11-25
Onset:1997-01-06
Submitted:1997-01-22
Entered:1997-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / 6 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myelitis, Paraesthesia, Paraplegia, CSF test abnormal

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: 8     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: Cordizen, Insulin, Trental
Current Illness: diabetes, HTN, periph vasc disease
Preexisting Conditions: diabetes, HTN, peripheral vascular disease
Allergies:
Diagnostic Lab Data: CSF w/elevated protein otherwise negative x/for few WACS;MRI w/ inc signal for T5-T10;
CDC 'Split Type': VA97036

Write-up: dx w/acute transverse myelitis-hosp from 9JAN97-17JAN97 then transported to a rehab facility w/lower extremities paraplegic & numbness up to T4/t% level;


Changed on 5/14/2017

VAERS ID: 94613 Before After
VAERS Form:
Age:72.0
Sex:Female
Location:Virginia
Vaccinated:1996-11-25
Onset:1997-01-06
Submitted:1997-01-22
Entered:1997-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / 6 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myelitis, Paraesthesia, Paraplegia, CSF test abnormal

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: 8     Extended hospital stay? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: Cordizen, Insulin, Trental
Current Illness: diabetes, HTN, periph vasc disease
Preexisting Conditions: diabetes, HTN, peripheral vascular disease
Allergies:
Diagnostic Lab Data: CSF w/elevated protein otherwise negative x/for few WACS;MRI w/ inc signal for T5-T10;
CDC 'Split Type': VA97036

Write-up: dx w/acute transverse myelitis-hosp from 9JAN97-17JAN97 then transported to a rehab facility w/lower extremities paraplegic & numbness up to T4/t% level;


Changed on 9/14/2017

VAERS ID: 94613 Before After
VAERS Form:(blank) 1
Age:72.0
Sex:Female
Location:Virginia
Vaccinated:1996-11-25
Onset:1997-01-06
Submitted:1997-01-22
Entered:1997-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / 6 7+ RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myelitis, Paraesthesia, Paraplegia, CSF test abnormal

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: 8     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cordizen, Insulin, Trental
Current Illness: diabetes, HTN, periph vasc disease
Preexisting Conditions: diabetes, HTN, peripheral vascular disease
Allergies:
Diagnostic Lab Data: CSF w/elevated protein otherwise negative x/for few WACS;MRI w/ inc signal for T5-T10;
CDC 'Split Type': VA97036

Write-up: dx w/acute transverse myelitis-hosp from 9JAN97-17JAN97 then transported to a rehab facility w/lower extremities paraplegic & numbness up to T4/t% level;


Changed on 2/14/2018

VAERS ID: 94613 Before After
VAERS Form:1
Age:72.0
Sex:Female
Location:Virginia
Vaccinated:1996-11-25
Onset:1997-01-06
Submitted:1997-01-22
Entered:1997-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / 7+ RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myelitis, Paraesthesia, Paraplegia, CSF test abnormal

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: 8     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cordizen, Insulin, Trental
Current Illness: diabetes, HTN, periph vasc disease
Preexisting Conditions: diabetes, HTN, peripheral vascular disease
Allergies:
Diagnostic Lab Data: CSF w/elevated protein otherwise negative x/for few WACS;MRI w/ inc signal for T5-T10;
CDC 'Split Type': VA97036

Write-up: dx w/acute transverse myelitis-hosp from 9JAN97-17JAN97 then transported to a rehab facility w/lower extremities paraplegic & numbness up to T4/t% level;


Changed on 6/14/2018

VAERS ID: 94613 Before After
VAERS Form:1
Age:72.0
Sex:Female
Location:Virginia
Vaccinated:1996-11-25
Onset:1997-01-06
Submitted:1997-01-22
Entered:1997-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / 7+ RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myelitis, Paraesthesia, Paraplegia, CSF test abnormal

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: 8     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cordizen, Insulin, Trental
Current Illness: diabetes, HTN, periph vasc disease
Preexisting Conditions: diabetes, HTN, peripheral vascular disease
Allergies:
Diagnostic Lab Data: CSF w/elevated protein otherwise negative x/for few WACS;MRI w/ inc signal for T5-T10;
CDC 'Split Type': VA97036

Write-up: dx w/acute transverse myelitis-hosp from 9JAN97-17JAN97 then transported to a rehab facility w/lower extremities paraplegic & numbness up to T4/t% level;


Changed on 8/14/2018

VAERS ID: 94613 Before After
VAERS Form:1
Age:72.0
Sex:Female
Location:Virginia
Vaccinated:1996-11-25
Onset:1997-01-06
Submitted:1997-01-22
Entered:1997-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / 7+ RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myelitis, Paraesthesia, Paraplegia, CSF test abnormal

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: 8     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cordizen, Insulin, Trental
Current Illness: diabetes, HTN, periph vasc disease
Preexisting Conditions: diabetes, HTN, peripheral vascular disease
Allergies:
Diagnostic Lab Data: CSF w/elevated protein otherwise negative x/for few WACS;MRI w/ inc signal for T5-T10;
CDC 'Split Type': VA97036

Write-up: dx w/acute transverse myelitis-hosp from 9JAN97-17JAN97 then transported to a rehab facility w/lower extremities paraplegic & numbness up to T4/t% level;


Changed on 9/14/2018

VAERS ID: 94613 Before After
VAERS Form:1
Age:72.0
Sex:Female
Location:Virginia
Vaccinated:1996-11-25
Onset:1997-01-06
Submitted:1997-01-22
Entered:1997-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / 7+ RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myelitis, Paraesthesia, Paraplegia, CSF test abnormal

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: 8     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cordizen, Insulin, Trental
Current Illness: diabetes, HTN, periph vasc disease
Preexisting Conditions: diabetes, HTN, peripheral vascular disease
Allergies:
Diagnostic Lab Data: CSF w/elevated protein otherwise negative x/for few WACS;MRI w/ inc signal for T5-T10;
CDC 'Split Type': VA97036

Write-up: dx w/acute transverse myelitis-hosp from 9JAN97-17JAN97 then transported to a rehab facility w/lower extremities paraplegic & numbness up to T4/t% level;


Changed on 10/14/2018

VAERS ID: 94613 Before After
VAERS Form:1
Age:72.0
Sex:Female
Location:Virginia
Vaccinated:1996-11-25
Onset:1997-01-06
Submitted:1997-01-22
Entered:1997-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968170 / 7+ RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Myelitis, Paraesthesia, Paraplegia, CSF test abnormal

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: 8     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cordizen, Insulin, Trental
Current Illness: diabetes, HTN, periph vasc disease
Preexisting Conditions: diabetes, HTN, peripheral vascular disease
Allergies:
Diagnostic Lab Data: CSF w/elevated protein otherwise negative x/for few WACS;MRI w/ inc signal for T5-T10;
CDC 'Split Type': VA97036

Write-up: dx w/acute transverse myelitis-hosp from 9JAN97-17JAN97 then transported to a rehab facility w/lower extremities paraplegic & numbness up to T4/t% level;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=94613&WAYBACKHISTORY=ON


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