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This is VAERS ID 98352

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 98352
VAERS Form:
Age:58.9
Sex:Male
Location:Minnesota
Vaccinated:1996-11-12
Onset:1996-11-19
Submitted:1997-05-15
Entered:1997-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 / WYETH - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, FLU SYND, ASTHENIA, MYASTHENIA, PARALYSIS EXTRAOCUL

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: 24     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC 'Split Type':

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness


Changed on 12/8/2009

VAERS ID: 98352 Before After
VAERS Form:
Age:58.9
Sex:Male
Location:Minnesota
Vaccinated:1996-11-12
Onset:1996-11-19
Submitted:1997-05-15
Entered:1997-05-29 1997-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 INFLUENZA (SEASONAL) (FLUSHIELD 96-97) / WYETH WYETH PHARMACEUTICALS, INC - / - - / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Influenza, Myasthenic syndrome, Ophthalmoplegia, Paraesthesia, GUILLAIN BARRE SYND, FLU SYND, ASTHENIA, MYASTHENIA, PARALYSIS EXTRAOCUL

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: 24     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC 'Split Type':

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness


Changed on 8/31/2010

VAERS ID: 98352 Before After
VAERS Form:
Age:58.9
Sex:Male
Location:Minnesota
Vaccinated:1996-11-12
Onset:1996-11-19
Submitted:1997-05-15
Entered:1997-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 96-97) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - - / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Influenza, Myasthenic syndrome, Ophthalmoplegia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 24     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC 'Split Type':

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness


Changed on 7/7/2013

VAERS ID: 98352 Before After
VAERS Form:
Age:58.9
Sex:Male
Location:Minnesota
Vaccinated:1996-11-12
Onset:1996-11-19
Submitted:1997-05-15
Entered:1997-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - - / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Influenza, Myasthenic syndrome, Ophthalmoplegia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 24     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC 'Split Type':

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness


Changed on 2/14/2017

VAERS ID: 98352 Before After
VAERS Form:
Age:58.9 58.0
Sex:Male
Location:Minnesota
Vaccinated:1996-11-12
Onset:1996-11-19
Submitted:1997-05-15
Entered:1997-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - - / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Influenza, Myasthenic syndrome, Ophthalmoplegia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 24     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC 'Split Type':

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness


Changed on 5/14/2017

VAERS ID: 98352 Before After
VAERS Form:
Age:58.0
Sex:Male
Location:Minnesota
Vaccinated:1996-11-12
Onset:1996-11-19
Submitted:1997-05-15
Entered:1997-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - - / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Influenza, Myasthenic syndrome, Ophthalmoplegia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 24     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC 'Split Type':

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness


Changed on 9/14/2017

VAERS ID: 98352 Before After
VAERS Form:(blank) 1
Age:58.0
Sex:Male
Location:Minnesota
Vaccinated:1996-11-12
Onset:1996-11-19
Submitted:1997-05-15
Entered:1997-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Influenza, Myasthenic syndrome, Ophthalmoplegia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 24     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC 'Split Type':

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness


Changed on 2/14/2018

VAERS ID: 98352 Before After
VAERS Form:1
Age:58.0
Sex:Male
Location:Minnesota
Vaccinated:1996-11-12
Onset:1996-11-19
Submitted:1997-05-15
Entered:1997-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Influenza, Myasthenic syndrome, Ophthalmoplegia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 24     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC 'Split Type':

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness


Changed on 6/14/2018

VAERS ID: 98352 Before After
VAERS Form:1
Age:58.0
Sex:Male
Location:Minnesota
Vaccinated:1996-11-12
Onset:1996-11-19
Submitted:1997-05-15
Entered:1997-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Influenza, Myasthenic syndrome, Ophthalmoplegia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 24     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC 'Split Type':

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness


Changed on 8/14/2018

VAERS ID: 98352 Before After
VAERS Form:1
Age:58.0
Sex:Male
Location:Minnesota
Vaccinated:1996-11-12
Onset:1996-11-19
Submitted:1997-05-15
Entered:1997-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Influenza, Myasthenic syndrome, Ophthalmoplegia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 24     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC 'Split Type':

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness


Changed on 9/14/2018

VAERS ID: 98352 Before After
VAERS Form:1
Age:58.0
Sex:Male
Location:Minnesota
Vaccinated:1996-11-12
Onset:1996-11-19
Submitted:1997-05-15
Entered:1997-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Influenza, Myasthenic syndrome, Ophthalmoplegia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 24     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC 'Split Type':

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness


Changed on 10/14/2018

VAERS ID: 98352 Before After
VAERS Form:1
Age:58.0
Sex:Male
Location:Minnesota
Vaccinated:1996-11-12
Onset:1996-11-19
Submitted:1997-05-15
Entered:1997-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Influenza, Myasthenic syndrome, Ophthalmoplegia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 24     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: spinal tap & EMG;
CDC 'Split Type':

Write-up: Got Guillain-Barre synd; 5-7 days pvax stomach flu; numb in boxer short area, then wst to toes, then upper body. Intens care 14d, on respirator; still problems-- eyes yes don''t close, tape eyes to sleep, mouth tired when eating; tiredness

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