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This is VAERS ID 98497

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 98497
VAERS Form:
Age:39.0
Sex:Female
Location:Iowa
Vaccinated:1996-11-03
Onset:1996-11-03
Submitted:1996-11-03
Entered:1997-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 / WYETH 4968169 / 0 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: HYPOKINESIA, PAIN INJECT SITE, ARTHRALGIA, PAIN, LARYNGISMUS

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergies to mold, pollens, sulfa, PCN;alcohol 1-2mo;I do have alot of low back pain, heel pain, bursitis hip, arthritis, psoriasis, asthma;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & felt tightness in throat;severe pain in arm & couldn''t lift arm;JAN97 call MD still couldn''t move arm;MD felt probable rotary cuff tendinitis;pt to physical therapy;arm & shoulder getting worse;still painful;


Changed on 12/8/2009

VAERS ID: 98497 Before After
VAERS Form:
Age:39.0
Sex:Female
Location:Iowa
Vaccinated:1996-11-03
Onset:1996-11-03
Submitted:1996-11-03
Entered:1997-06-05 1997-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 INFLUENZA (SEASONAL) (FLUSHIELD 96-97) / WYETH WYETH PHARMACEUTICALS, INC 4968169 / 0 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Hypokinesia, Injection site pain, Laryngospasm, Pain, Tendon disorder, HYPOKINESIA, PAIN INJECT SITE, ARTHRALGIA, PAIN, LARYNGISMUS

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergies to mold, pollens, sulfa, PCN;alcohol 1-2mo;I do have alot of low back pain, heel pain, bursitis hip, arthritis, psoriasis, asthma;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & felt tightness in throat;severe pain in arm & couldn''t lift arm;JAN97 call MD still couldn''t move arm;MD felt probable rotary cuff tendinitis;pt to physical therapy;arm & shoulder getting worse;still painful;


Changed on 8/31/2010

VAERS ID: 98497 Before After
VAERS Form:
Age:39.0
Sex:Female
Location:Iowa
Vaccinated:1996-11-03
Onset:1996-11-03
Submitted:1996-11-03
Entered:1997-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 96-97) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4968169 / 0 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Hypokinesia, Injection site pain, Laryngospasm, Pain, Tendon disorder

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergies to mold, pollens, sulfa, PCN;alcohol 1-2mo;I do have alot of low back pain, heel pain, bursitis hip, arthritis, psoriasis, asthma;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & felt tightness in throat;severe pain in arm & couldn''t lift arm;JAN97 call MD still couldn''t move arm;MD felt probable rotary cuff tendinitis;pt to physical therapy;arm & shoulder getting worse;still painful;


Changed on 7/7/2013

VAERS ID: 98497 Before After
VAERS Form:
Age:39.0
Sex:Female
Location:Iowa
Vaccinated:1996-11-03
Onset:1996-11-03
Submitted:1996-11-03
Entered:1997-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968169 / 0 LA / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968169 / 0 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Hypokinesia, Injection site pain, Laryngospasm, Pain, Tendon disorder

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergies to mold, pollens, sulfa, PCN;alcohol 1-2mo;I do have alot of low back pain, heel pain, bursitis hip, arthritis, psoriasis, asthma;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & felt tightness in throat;severe pain in arm & couldn''t lift arm;JAN97 call MD still couldn''t move arm;MD felt probable rotary cuff tendinitis;pt to physical therapy;arm & shoulder getting worse;still painful;


Changed on 5/14/2017

VAERS ID: 98497 Before After
VAERS Form:
Age:39.0
Sex:Female
Location:Iowa
Vaccinated:1996-11-03
Onset:1996-11-03
Submitted:1996-11-03
Entered:1997-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968169 / 0 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Hypokinesia, Injection site pain, Laryngospasm, Pain, Tendon disorder

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergies to mold, pollens, sulfa, PCN;alcohol 1-2mo;I do have alot of low back pain, heel pain, bursitis hip, arthritis, psoriasis, asthma;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & felt tightness in throat;severe pain in arm & couldn''t lift arm;JAN97 call MD still couldn''t move arm;MD felt probable rotary cuff tendinitis;pt to physical therapy;arm & shoulder getting worse;still painful;


Changed on 9/14/2017

VAERS ID: 98497 Before After
VAERS Form:(blank) 1
Age:39.0
Sex:Female
Location:Iowa
Vaccinated:1996-11-03
Onset:1996-11-03
Submitted:1996-11-03
Entered:1997-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968169 / 0 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Hypokinesia, Injection site pain, Laryngospasm, Pain, Tendon disorder

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergies to mold, pollens, sulfa, PCN;alcohol 1-2mo;I do have alot of low back pain, heel pain, bursitis hip, arthritis, psoriasis, asthma;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & felt tightness in throat;severe pain in arm & couldn''t lift arm;JAN97 call MD still couldn''t move arm;MD felt probable rotary cuff tendinitis;pt to physical therapy;arm & shoulder getting worse;still painful;


Changed on 2/14/2018

VAERS ID: 98497 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:Iowa
Vaccinated:1996-11-03
Onset:1996-11-03
Submitted:1996-11-03
Entered:1997-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968169 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Hypokinesia, Injection site pain, Laryngospasm, Pain, Tendon disorder

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergies to mold, pollens, sulfa, PCN;alcohol 1-2mo;I do have alot of low back pain, heel pain, bursitis hip, arthritis, psoriasis, asthma;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & felt tightness in throat;severe pain in arm & couldn''t lift arm;JAN97 call MD still couldn''t move arm;MD felt probable rotary cuff tendinitis;pt to physical therapy;arm & shoulder getting worse;still painful;


Changed on 6/14/2018

VAERS ID: 98497 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:Iowa
Vaccinated:1996-11-03
Onset:1996-11-03
Submitted:1996-11-03
Entered:1997-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968169 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Hypokinesia, Injection site pain, Laryngospasm, Pain, Tendon disorder

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergies to mold, pollens, sulfa, PCN;alcohol 1-2mo;I do have alot of low back pain, heel pain, bursitis hip, arthritis, psoriasis, asthma;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & felt tightness in throat;severe pain in arm & couldn''t lift arm;JAN97 call MD still couldn''t move arm;MD felt probable rotary cuff tendinitis;pt to physical therapy;arm & shoulder getting worse;still painful;


Changed on 8/14/2018

VAERS ID: 98497 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:Iowa
Vaccinated:1996-11-03
Onset:1996-11-03
Submitted:1996-11-03
Entered:1997-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968169 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Hypokinesia, Injection site pain, Laryngospasm, Pain, Tendon disorder

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergies to mold, pollens, sulfa, PCN;alcohol 1-2mo;I do have alot of low back pain, heel pain, bursitis hip, arthritis, psoriasis, asthma;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & felt tightness in throat;severe pain in arm & couldn''t lift arm;JAN97 call MD still couldn''t move arm;MD felt probable rotary cuff tendinitis;pt to physical therapy;arm & shoulder getting worse;still painful;


Changed on 9/14/2018

VAERS ID: 98497 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:Iowa
Vaccinated:1996-11-03
Onset:1996-11-03
Submitted:1996-11-03
Entered:1997-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968169 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Hypokinesia, Injection site pain, Laryngospasm, Pain, Tendon disorder

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergies to mold, pollens, sulfa, PCN;alcohol 1-2mo;I do have alot of low back pain, heel pain, bursitis hip, arthritis, psoriasis, asthma;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & felt tightness in throat;severe pain in arm & couldn''t lift arm;JAN97 call MD still couldn''t move arm;MD felt probable rotary cuff tendinitis;pt to physical therapy;arm & shoulder getting worse;still painful;


Changed on 10/14/2018

VAERS ID: 98497 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:Iowa
Vaccinated:1996-11-03
Onset:1996-11-03
Submitted:1996-11-03
Entered:1997-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968169 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Hypokinesia, Injection site pain, Laryngospasm, Pain, Tendon disorder

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergies to mold, pollens, sulfa, PCN;alcohol 1-2mo;I do have alot of low back pain, heel pain, bursitis hip, arthritis, psoriasis, asthma;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & felt tightness in throat;severe pain in arm & couldn''t lift arm;JAN97 call MD still couldn''t move arm;MD felt probable rotary cuff tendinitis;pt to physical therapy;arm & shoulder getting worse;still painful;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=98497&WAYBACKHISTORY=ON


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