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This is VAERS ID 46212

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 46212
VAERS Form:
Age:1.7
Sex:Male
Location:Virginia
Vaccinated:1991-11-26
Onset:0000-00-00
Submitted:1992-01-30
Entered:1992-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1991-1992 EVANS MED & LEDERLE / LEDERLE - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, HYPOKINESIA, CONVULS, HYPERTONIA, ENCEPHALOPATHY

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: extensive testing @ hsp awaiting results;
CDC 'Split Type':

Write-up: Consumer reports that 1 mo p/vax pt had sx of a cold; 10 days p/that exp stiff neck & could not move head; 10 days p/that exp 3 seizures; 13JAN92 hospitalized for 2 days; tx w/Dilantin; 20JAN92 hospitalized again 3 days for sz;


Changed on 12/8/2009

VAERS ID: 46212 Before After
VAERS Form:
Age:1.7
Sex:Male
Location:Virginia
Vaccinated:1991-11-26
Onset:0000-00-00
Submitted:1992-01-30
Entered:1992-10-20 1992-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1991-1992 EVANS MED & LEDERLE INFLUENZA (SEASONAL) (FLU-IMUNE 91-92) / LEDERLE LEDERLE LABORATORIES - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Convulsion, Encephalopathy, Hypertonia, Hypokinesia, Pharyngitis, Rhinitis, Nuchal rigidity, AGITATION, HYPOKINESIA, CONVULS, HYPERTONIA, ENCEPHALOPATHY

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: extensive testing @ hsp awaiting results;
CDC 'Split Type': (blank) CO4133

Write-up: Consumer reports that 1 mo p/vax pt had sx of a cold; 10 days p/that exp stiff neck & could not move head; 10 days p/that exp 3 seizures; 13JAN92 hospitalized for 2 days; tx w/Dilantin; 20JAN92 hospitalized again 3 days for sz;


Changed on 8/31/2010

VAERS ID: 46212 Before After
VAERS Form:
Age:1.7
Sex:Male
Location:Virginia
Vaccinated:1991-11-26
Onset:0000-00-00
Submitted:1992-01-30
Entered:1992-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLU-IMUNE 91-92) INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Convulsion, Encephalopathy, Hypertonia, Hypokinesia, Pharyngitis, Rhinitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: extensive testing @ hsp awaiting results;
CDC 'Split Type': CO4133

Write-up: Consumer reports that 1 mo p/vax pt had sx of a cold; 10 days p/that exp stiff neck & could not move head; 10 days p/that exp 3 seizures; 13JAN92 hospitalized for 2 days; tx w/Dilantin; 20JAN92 hospitalized again 3 days for sz;


Changed on 7/7/2013

VAERS ID: 46212 Before After
VAERS Form:
Age:1.7
Sex:Male
Location:Virginia
Vaccinated:1991-11-26
Onset:0000-00-00
Submitted:1992-01-30
Entered:1992-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - - / -
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Convulsion, Encephalopathy, Hypertonia, Hypokinesia, Pharyngitis, Rhinitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: extensive testing @ hsp awaiting results;
CDC 'Split Type': CO4133

Write-up: Consumer reports that 1 mo p/vax pt had sx of a cold; 10 days p/that exp stiff neck & could not move head; 10 days p/that exp 3 seizures; 13JAN92 hospitalized for 2 days; tx w/Dilantin; 20JAN92 hospitalized again 3 days for sz;


Changed on 5/14/2017

VAERS ID: 46212 Before After
VAERS Form:
Age:1.7
Sex:Male
Location:Virginia
Vaccinated:1991-11-26
Onset:0000-00-00
Submitted:1992-01-30
Entered:1992-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Convulsion, Encephalopathy, Hypertonia, Hypokinesia, Pharyngitis, Rhinitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: extensive testing @ hsp awaiting results;
CDC 'Split Type': CO4133

Write-up: Consumer reports that 1 mo p/vax pt had sx of a cold; 10 days p/that exp stiff neck & could not move head; 10 days p/that exp 3 seizures; 13JAN92 hospitalized for 2 days; tx w/Dilantin; 20JAN92 hospitalized again 3 days for sz;


Changed on 9/14/2017

VAERS ID: 46212 Before After
VAERS Form:(blank) 1
Age:1.7
Sex:Male
Location:Virginia
Vaccinated:1991-11-26
Onset:0000-00-00
Submitted:1992-01-30
Entered:1992-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Convulsion, Encephalopathy, Hypertonia, Hypokinesia, Pharyngitis, Rhinitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: extensive testing @ hsp awaiting results;
CDC 'Split Type': CO4133

Write-up: Consumer reports that 1 mo p/vax pt had sx of a cold; 10 days p/that exp stiff neck & could not move head; 10 days p/that exp 3 seizures; 13JAN92 hospitalized for 2 days; tx w/Dilantin; 20JAN92 hospitalized again 3 days for sz;


Changed on 2/14/2018

VAERS ID: 46212 Before After
VAERS Form:1
Age:1.7
Sex:Male
Location:Virginia
Vaccinated:1991-11-26
Onset:0000-00-00
Submitted:1992-01-30
Entered:1992-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Convulsion, Encephalopathy, Hypertonia, Hypokinesia, Pharyngitis, Rhinitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: extensive testing @ hsp awaiting results;
CDC 'Split Type': CO4133

Write-up: Consumer reports that 1 mo p/vax pt had sx of a cold; 10 days p/that exp stiff neck & could not move head; 10 days p/that exp 3 seizures; 13JAN92 hospitalized for 2 days; tx w/Dilantin; 20JAN92 hospitalized again 3 days for sz;


Changed on 6/14/2018

VAERS ID: 46212 Before After
VAERS Form:1
Age:1.7
Sex:Male
Location:Virginia
Vaccinated:1991-11-26
Onset:0000-00-00
Submitted:1992-01-30
Entered:1992-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Convulsion, Encephalopathy, Hypertonia, Hypokinesia, Pharyngitis, Rhinitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: extensive testing @ hsp awaiting results;
CDC 'Split Type': CO4133

Write-up: Consumer reports that 1 mo p/vax pt had sx of a cold; 10 days p/that exp stiff neck & could not move head; 10 days p/that exp 3 seizures; 13JAN92 hospitalized for 2 days; tx w/Dilantin; 20JAN92 hospitalized again 3 days for sz;


Changed on 8/14/2018

VAERS ID: 46212 Before After
VAERS Form:1
Age:1.7
Sex:Male
Location:Virginia
Vaccinated:1991-11-26
Onset:0000-00-00
Submitted:1992-01-30
Entered:1992-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Convulsion, Encephalopathy, Hypertonia, Hypokinesia, Pharyngitis, Rhinitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: extensive testing @ hsp awaiting results;
CDC 'Split Type': CO4133

Write-up: Consumer reports that 1 mo p/vax pt had sx of a cold; 10 days p/that exp stiff neck & could not move head; 10 days p/that exp 3 seizures; 13JAN92 hospitalized for 2 days; tx w/Dilantin; 20JAN92 hospitalized again 3 days for sz;


Changed on 9/14/2018

VAERS ID: 46212 Before After
VAERS Form:1
Age:1.7
Sex:Male
Location:Virginia
Vaccinated:1991-11-26
Onset:0000-00-00
Submitted:1992-01-30
Entered:1992-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Convulsion, Encephalopathy, Hypertonia, Hypokinesia, Pharyngitis, Rhinitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: extensive testing @ hsp awaiting results;
CDC 'Split Type': CO4133

Write-up: Consumer reports that 1 mo p/vax pt had sx of a cold; 10 days p/that exp stiff neck & could not move head; 10 days p/that exp 3 seizures; 13JAN92 hospitalized for 2 days; tx w/Dilantin; 20JAN92 hospitalized again 3 days for sz;


Changed on 10/14/2018

VAERS ID: 46212 Before After
VAERS Form:1
Age:1.7
Sex:Male
Location:Virginia
Vaccinated:1991-11-26
Onset:0000-00-00
Submitted:1992-01-30
Entered:1992-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Convulsion, Encephalopathy, Hypertonia, Hypokinesia, Pharyngitis, Rhinitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: extensive testing @ hsp awaiting results;
CDC 'Split Type': CO4133

Write-up: Consumer reports that 1 mo p/vax pt had sx of a cold; 10 days p/that exp stiff neck & could not move head; 10 days p/that exp 3 seizures; 13JAN92 hospitalized for 2 days; tx w/Dilantin; 20JAN92 hospitalized again 3 days for sz;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=46212&WAYBACKHISTORY=ON


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