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This is VAERS ID 44594

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 44594
VAERS Form:
Age:28.4
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: IPV / MERIEUX INST G0103 / 2 RA / SC
TD: TD ADSORBED, ADULTS / CONNAUGHT LABS 1K31145 / 1 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: HYPOKINESIA, HYPERTONIA, MYALGIA, PAIN, MYOSITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 12/8/2009

VAERS ID: 44594 Before After
VAERS Form:
Age:28.4
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-31 1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: IPV POLIO VIRUS, INACT. (NO BRAND NAME) / MERIEUX INST PASTEUR MERIEUX INST. G0103 / 2 RA / SC
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 1K31145 / 1 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain, HYPOKINESIA, HYPERTONIA, MYALGIA, PAIN, MYOSITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 2/14/2017

VAERS ID: 44594 Before After
VAERS Form:
Age:28.4 28.0
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 2 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 5/14/2017

VAERS ID: 44594 Before After
VAERS Form:
Age:28.0
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 2 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 9/14/2017

VAERS ID: 44594 Before After
VAERS Form:(blank) 1
Age:28.0
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 2 3 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 1 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 2/14/2018

VAERS ID: 44594 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 3 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 6/14/2018

VAERS ID: 44594 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 3 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 8/14/2018

VAERS ID: 44594 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 3 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 9/14/2018

VAERS ID: 44594 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 3 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 10/14/2018

VAERS ID: 44594 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 3 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 12/24/2020

VAERS ID: 44594 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 3 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 12/30/2020

VAERS ID: 44594 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 3 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 5/7/2021

VAERS ID: 44594 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 3 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;


Changed on 5/21/2021

VAERS ID: 44594 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Washington
Vaccinated:1992-05-21
Onset:1992-05-21
Submitted:1992-08-25
Entered:1992-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 3 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA92763

Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=44594&WAYBACKHISTORY=ON


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