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This is VAERS ID 99365

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 99365
VAERS Form:
Age:72.0
Sex:Female
Location:Georgia
Vaccinated:0000-00-00
Onset:1996-11-19
Submitted:0000-00-00
Entered:1997-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, ASTHENIA, HYPOXIA, HYPERGLYCEM, HYPERCHLOREM

Life Threatening? Yes
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: upper resp sx 3wk prior to admission;
Preexisting Conditions: PMH x/hysterectomy 50yrs PTA;
Allergies:
Diagnostic Lab Data: CBC WNL; 9.3/39.1;13.5;321; 138/3.7/108/23.4/6/0.7;139;
CDC 'Split Type':

Write-up: pt recv vax & became weaker during the day,upon admission was markedly quadraparetic;could move head & speaks w/diff;CBC WNL;adm w/GBS;intubated on ventilator;tracheostomy performed 24NOV96;


Changed on 12/8/2009

VAERS ID: 99365 Before After
VAERS Form:
Age:72.0
Sex:Female
Location:Georgia
Vaccinated:0000-00-00 1996-11-02
Onset:1996-11-19
Submitted:0000-00-00
Entered:1997-07-01 1997-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Hyperchloraemia, Hyperglycaemia, Hypoxia, Laboratory test abnormal, Quadriplegia, GUILLAIN BARRE SYND, ASTHENIA, HYPOXIA, HYPERGLYCEM, HYPERCHLOREM

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: upper resp sx 3wk prior to admission;
Preexisting Conditions: PMH x/hysterectomy 50yrs PTA;
Allergies:
Diagnostic Lab Data: CBC WNL; 9.3/39.1;13.5;321; 138/3.7/108/23.4/6/0.7;139;
CDC 'Split Type':

Write-up: pt recv vax & became weaker during the day,upon admission was markedly quadraparetic;could move head & speaks w/diff;CBC WNL;adm w/GBS;intubated on ventilator;tracheostomy performed 24NOV96;


Changed on 7/7/2013

VAERS ID: 99365 Before After
VAERS Form:
Age:72.0
Sex:Female
Location:Georgia
Vaccinated:1996-11-02
Onset:1996-11-19
Submitted:0000-00-00
Entered:1997-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Hyperchloraemia, Hyperglycaemia, Hypoxia, Laboratory test abnormal, Quadriplegia

Life Threatening? Yes
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: upper resp sx 3wk prior to admission;
Preexisting Conditions: PMH x/hysterectomy 50yrs PTA;
Allergies:
Diagnostic Lab Data: CBC WNL; 9.3/39.1;13.5;321; 138/3.7/108/23.4/6/0.7;139;
CDC 'Split Type':

Write-up: pt recv vax & became weaker during the day,upon admission was markedly quadraparetic;could move head & speaks w/diff;CBC WNL;adm w/GBS;intubated on ventilator;tracheostomy performed 24NOV96;


Changed on 12/14/2016

VAERS ID: 99365 Before After
VAERS Form:
Age:72.0
Sex:Female
Location:Georgia
Vaccinated:1996-11-02
Onset:1996-11-19
Submitted:0000-00-00
Entered:1997-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Hyperchloraemia, Hyperglycaemia, Hypoxia, Laboratory test abnormal, Quadriplegia

Life Threatening? Yes
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: upper resp sx 3wk prior to admission;
Preexisting Conditions: PMH x/hysterectomy 50yrs PTA;
Allergies:
Diagnostic Lab Data: CBC WNL; 9.3/39.1;13.5;321; 138/3.7/108/23.4/6/0.7;139;
CDC 'Split Type':

Write-up: pt recv vax & became weaker during the day,upon admission was markedly quadraparetic;could move head & speaks w/diff;CBC WNL;adm w/GBS;intubated on ventilator;tracheostomy performed 24NOV96;


Changed on 9/14/2017

VAERS ID: 99365 Before After
VAERS Form:(blank) 1
Age:72.0
Sex:Female
Location:Georgia
Vaccinated:1996-11-02
Onset:1996-11-19
Submitted:0000-00-00
Entered:1997-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Hyperchloraemia, Hyperglycaemia, Hypoxia, Laboratory test abnormal, Quadriplegia

Life Threatening? Yes
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: upper resp sx 3wk prior to admission;
Preexisting Conditions: PMH x/hysterectomy 50yrs PTA;
Allergies:
Diagnostic Lab Data: CBC WNL; 9.3/39.1;13.5;321; 138/3.7/108/23.4/6/0.7;139;
CDC 'Split Type':

Write-up: pt recv vax & became weaker during the day,upon admission was markedly quadraparetic;could move head & speaks w/diff;CBC WNL;adm w/GBS;intubated on ventilator;tracheostomy performed 24NOV96;


Changed on 2/14/2018

VAERS ID: 99365 Before After
VAERS Form:1
Age:72.0
Sex:Female
Location:Georgia
Vaccinated:1996-11-02
Onset:1996-11-19
Submitted:0000-00-00
Entered:1997-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Hyperchloraemia, Hyperglycaemia, Hypoxia, Laboratory test abnormal, Quadriplegia

Life Threatening? Yes
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: upper resp sx 3wk prior to admission;
Preexisting Conditions: PMH x/hysterectomy 50yrs PTA;
Allergies:
Diagnostic Lab Data: CBC WNL; 9.3/39.1;13.5;321; 138/3.7/108/23.4/6/0.7;139;
CDC 'Split Type':

Write-up: pt recv vax & became weaker during the day,upon admission was markedly quadraparetic;could move head & speaks w/diff;CBC WNL;adm w/GBS;intubated on ventilator;tracheostomy performed 24NOV96;


Changed on 6/14/2018

VAERS ID: 99365 Before After
VAERS Form:1
Age:72.0
Sex:Female
Location:Georgia
Vaccinated:1996-11-02
Onset:1996-11-19
Submitted:0000-00-00
Entered:1997-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Hyperchloraemia, Hyperglycaemia, Hypoxia, Laboratory test abnormal, Quadriplegia

Life Threatening? Yes
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: upper resp sx 3wk prior to admission;
Preexisting Conditions: PMH x/hysterectomy 50yrs PTA;
Allergies:
Diagnostic Lab Data: CBC WNL; 9.3/39.1;13.5;321; 138/3.7/108/23.4/6/0.7;139;
CDC 'Split Type':

Write-up: pt recv vax & became weaker during the day,upon admission was markedly quadraparetic;could move head & speaks w/diff;CBC WNL;adm w/GBS;intubated on ventilator;tracheostomy performed 24NOV96;


Changed on 8/14/2018

VAERS ID: 99365 Before After
VAERS Form:1
Age:72.0
Sex:Female
Location:Georgia
Vaccinated:1996-11-02
Onset:1996-11-19
Submitted:0000-00-00
Entered:1997-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Hyperchloraemia, Hyperglycaemia, Hypoxia, Laboratory test abnormal, Quadriplegia

Life Threatening? Yes
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: upper resp sx 3wk prior to admission;
Preexisting Conditions: PMH x/hysterectomy 50yrs PTA;
Allergies:
Diagnostic Lab Data: CBC WNL; 9.3/39.1;13.5;321; 138/3.7/108/23.4/6/0.7;139;
CDC 'Split Type':

Write-up: pt recv vax & became weaker during the day,upon admission was markedly quadraparetic;could move head & speaks w/diff;CBC WNL;adm w/GBS;intubated on ventilator;tracheostomy performed 24NOV96;


Changed on 9/14/2018

VAERS ID: 99365 Before After
VAERS Form:1
Age:72.0
Sex:Female
Location:Georgia
Vaccinated:1996-11-02
Onset:1996-11-19
Submitted:0000-00-00
Entered:1997-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Hyperchloraemia, Hyperglycaemia, Hypoxia, Laboratory test abnormal, Quadriplegia

Life Threatening? Yes
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: upper resp sx 3wk prior to admission;
Preexisting Conditions: PMH x/hysterectomy 50yrs PTA;
Allergies:
Diagnostic Lab Data: CBC WNL; 9.3/39.1;13.5;321; 138/3.7/108/23.4/6/0.7;139;
CDC 'Split Type':

Write-up: pt recv vax & became weaker during the day,upon admission was markedly quadraparetic;could move head & speaks w/diff;CBC WNL;adm w/GBS;intubated on ventilator;tracheostomy performed 24NOV96;


Changed on 10/14/2018

VAERS ID: 99365 Before After
VAERS Form:1
Age:72.0
Sex:Female
Location:Georgia
Vaccinated:1996-11-02
Onset:1996-11-19
Submitted:0000-00-00
Entered:1997-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Guillain-Barre syndrome, Hyperchloraemia, Hyperglycaemia, Hypoxia, Laboratory test abnormal, Quadriplegia

Life Threatening? Yes
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: upper resp sx 3wk prior to admission;
Preexisting Conditions: PMH x/hysterectomy 50yrs PTA;
Allergies:
Diagnostic Lab Data: CBC WNL; 9.3/39.1;13.5;321; 138/3.7/108/23.4/6/0.7;139;
CDC 'Split Type':

Write-up: pt recv vax & became weaker during the day,upon admission was markedly quadraparetic;could move head & speaks w/diff;CBC WNL;adm w/GBS;intubated on ventilator;tracheostomy performed 24NOV96;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=99365&WAYBACKHISTORY=ON


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