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This is VAERS ID 99006

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 99006
VAERS Form:
Age:73.0
Sex:Male
Location:Unknown
Vaccinated:1996-10-02
Onset:1996-10-05
Submitted:0000-00-00
Entered:1997-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 / WYETH 4968185 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: NEUROPATHY, PAIN, LAB TEST ABNORM, ATROPHY MUSCLE

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: Prilosec & propulsid on reg basis
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG affected on axillary suprascapular, median nerves;
CDC 'Split Type':

Write-up: lt arm pain-same arm as flu shot;supra? deltoid atrophy;EMG affected on axillary suprascapular, median nerve;


Changed on 12/8/2009

VAERS ID: 99006 Before After
VAERS Form:
Age:73.0
Sex:Male
Location:Unknown
Vaccinated:1996-10-02
Onset:1996-10-05
Submitted:0000-00-00
Entered:1997-06-16 1997-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 INFLUENZA (SEASONAL) (FLUSHIELD 96-97) / WYETH WYETH PHARMACEUTICALS, INC 4968185 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Muscle atrophy, Neuropathy, Pain, NEUROPATHY, PAIN, LAB TEST ABNORM, ATROPHY MUSCLE

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: Prilosec & propulsid on reg basis
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG affected on axillary suprascapular, median nerves;
CDC 'Split Type':

Write-up: lt arm pain-same arm as flu shot;supra? deltoid atrophy;EMG affected on axillary suprascapular, median nerve;


Changed on 8/31/2010

VAERS ID: 99006 Before After
VAERS Form:
Age:73.0
Sex:Male
Location:Unknown
Vaccinated:1996-10-02
Onset:1996-10-05
Submitted:0000-00-00
Entered:1997-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 96-97) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4968185 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Muscle atrophy, Neuropathy, Pain

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: Prilosec & propulsid on reg basis
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG affected on axillary suprascapular, median nerves;
CDC 'Split Type':

Write-up: lt arm pain-same arm as flu shot;supra? deltoid atrophy;EMG affected on axillary suprascapular, median nerve;


Changed on 7/7/2013

VAERS ID: 99006 Before After
VAERS Form:
Age:73.0
Sex:Male
Location:Unknown
Vaccinated:1996-10-02
Onset:1996-10-05
Submitted:0000-00-00
Entered:1997-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968185 / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968185 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Muscle atrophy, Neuropathy, Pain

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: Prilosec & propulsid on reg basis
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG affected on axillary suprascapular, median nerves;
CDC 'Split Type':

Write-up: lt arm pain-same arm as flu shot;supra? deltoid atrophy;EMG affected on axillary suprascapular, median nerve;


Changed on 5/14/2017

VAERS ID: 99006 Before After
VAERS Form:
Age:73.0
Sex:Male
Location:Unknown
Vaccinated:1996-10-02
Onset:1996-10-05
Submitted:0000-00-00
Entered:1997-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968185 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Muscle atrophy, Neuropathy, Pain

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: Prilosec & propulsid on reg basis
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG affected on axillary suprascapular, median nerves;
CDC 'Split Type':

Write-up: lt arm pain-same arm as flu shot;supra? deltoid atrophy;EMG affected on axillary suprascapular, median nerve;


Changed on 9/14/2017

VAERS ID: 99006 Before After
VAERS Form:(blank) 1
Age:73.0
Sex:Male
Location:Unknown
Vaccinated:1996-10-02
Onset:1996-10-05
Submitted:0000-00-00
Entered:1997-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968185 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Muscle atrophy, Neuropathy, Pain

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: Prilosec & propulsid on reg basis
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG affected on axillary suprascapular, median nerves;
CDC 'Split Type':

Write-up: lt arm pain-same arm as flu shot;supra? deltoid atrophy;EMG affected on axillary suprascapular, median nerve;


Changed on 2/14/2018

VAERS ID: 99006 Before After
VAERS Form:1
Age:73.0
Sex:Male
Location:Unknown
Vaccinated:1996-10-02
Onset:1996-10-05
Submitted:0000-00-00
Entered:1997-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968185 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Muscle atrophy, Neuropathy, Pain

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: Prilosec & propulsid on reg basis
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG affected on axillary suprascapular, median nerves;
CDC 'Split Type':

Write-up: lt arm pain-same arm as flu shot;supra? deltoid atrophy;EMG affected on axillary suprascapular, median nerve;


Changed on 6/14/2018

VAERS ID: 99006 Before After
VAERS Form:1
Age:73.0
Sex:Male
Location:Unknown
Vaccinated:1996-10-02
Onset:1996-10-05
Submitted:0000-00-00
Entered:1997-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968185 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Muscle atrophy, Neuropathy, Pain

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: Prilosec & propulsid on reg basis
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG affected on axillary suprascapular, median nerves;
CDC 'Split Type':

Write-up: lt arm pain-same arm as flu shot;supra? deltoid atrophy;EMG affected on axillary suprascapular, median nerve;


Changed on 8/14/2018

VAERS ID: 99006 Before After
VAERS Form:1
Age:73.0
Sex:Male
Location:Unknown
Vaccinated:1996-10-02
Onset:1996-10-05
Submitted:0000-00-00
Entered:1997-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968185 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Muscle atrophy, Neuropathy, Pain

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: Prilosec & propulsid on reg basis
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG affected on axillary suprascapular, median nerves;
CDC 'Split Type':

Write-up: lt arm pain-same arm as flu shot;supra? deltoid atrophy;EMG affected on axillary suprascapular, median nerve;


Changed on 9/14/2018

VAERS ID: 99006 Before After
VAERS Form:1
Age:73.0
Sex:Male
Location:Unknown
Vaccinated:1996-10-02
Onset:1996-10-05
Submitted:0000-00-00
Entered:1997-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968185 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Muscle atrophy, Neuropathy, Pain

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: Prilosec & propulsid on reg basis
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG affected on axillary suprascapular, median nerves;
CDC 'Split Type':

Write-up: lt arm pain-same arm as flu shot;supra? deltoid atrophy;EMG affected on axillary suprascapular, median nerve;


Changed on 10/14/2018

VAERS ID: 99006 Before After
VAERS Form:1
Age:73.0
Sex:Male
Location:Unknown
Vaccinated:1996-10-02
Onset:1996-10-05
Submitted:0000-00-00
Entered:1997-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968185 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Laboratory test abnormal, Muscle atrophy, Neuropathy, Pain

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: Prilosec & propulsid on reg basis
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EMG affected on axillary suprascapular, median nerves;
CDC 'Split Type':

Write-up: lt arm pain-same arm as flu shot;supra? deltoid atrophy;EMG affected on axillary suprascapular, median nerve;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=99006&WAYBACKHISTORY=ON


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