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This is VAERS ID 628969

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 628969
VAERS Form:
Age:20.0
Sex:Female
Location:California
Vaccinated:2015-10-16
Onset:0000-00-00
Submitted:0000-00-00
Entered:2016-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U5319AA / - LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH U28923 / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Injection site rash, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: EMG - proximal muscle membrane irritabilities 1/20/16
CDC 'Split Type':

Write-up: Rash at injection site after 2 days after vaccine and then 5 wks later, apx 11/21/15 started with thigh weakness, neuro dx''ed as variant Guillain-Barre, resolved March 2016.


Changed on 9/14/2017

VAERS ID: 628969 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Female
Location:California
Vaccinated:2015-10-16
Onset:0000-00-00
Submitted:0000-00-00
Entered:2016-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U5319AA / - UNK LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH U28923 / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Injection site rash, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: EMG - proximal muscle membrane irritabilities 1/20/16
CDC 'Split Type':

Write-up: Rash at injection site after 2 days after vaccine and then 5 wks later, apx 11/21/15 started with thigh weakness, neuro dx''ed as variant Guillain-Barre, resolved March 2016.


Changed on 2/14/2018

VAERS ID: 628969 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:California
Vaccinated:2015-10-16
Onset:0000-00-00
Submitted:0000-00-00
Entered:2016-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U5319AA / UNK LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH U28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Injection site rash, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: EMG - proximal muscle membrane irritabilities 1/20/16
CDC 'Split Type':

Write-up: Rash at injection site after 2 days after vaccine and then 5 wks later, apx 11/21/15 started with thigh weakness, neuro dx''ed as variant Guillain-Barre, resolved March 2016.


Changed on 6/14/2018

VAERS ID: 628969 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:California
Vaccinated:2015-10-16
Onset:0000-00-00
Submitted:0000-00-00
Entered:2016-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U5319AA / UNK LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH U28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Injection site rash, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: EMG - proximal muscle membrane irritabilities 1/20/16
CDC 'Split Type':

Write-up: Rash at injection site after 2 days after vaccine and then 5 wks later, apx 11/21/15 started with thigh weakness, neuro dx''ed as variant Guillain-Barre, resolved March 2016.


Changed on 8/14/2018

VAERS ID: 628969 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:California
Vaccinated:2015-10-16
Onset:0000-00-00
Submitted:0000-00-00
Entered:2016-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U5319AA / UNK LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH U28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Injection site rash, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: EMG - proximal muscle membrane irritabilities 1/20/16
CDC 'Split Type':

Write-up: Rash at injection site after 2 days after vaccine and then 5 wks later, apx 11/21/15 started with thigh weakness, neuro dx''ed as variant Guillain-Barre, resolved March 2016.


Changed on 9/14/2018

VAERS ID: 628969 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:California
Vaccinated:2015-10-16
Onset:0000-00-00
Submitted:0000-00-00
Entered:2016-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U5319AA / UNK LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH U28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Injection site rash, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: EMG - proximal muscle membrane irritabilities 1/20/16
CDC 'Split Type':

Write-up: Rash at injection site after 2 days after vaccine and then 5 wks later, apx 11/21/15 started with thigh weakness, neuro dx''ed as variant Guillain-Barre, resolved March 2016.


Changed on 10/14/2018

VAERS ID: 628969 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:California
Vaccinated:2015-10-16
Onset:0000-00-00
Submitted:0000-00-00
Entered:2016-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U5319AA / UNK LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH U28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Injection site rash, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: EMG - proximal muscle membrane irritabilities 1/20/16
CDC 'Split Type':

Write-up: Rash at injection site after 2 days after vaccine and then 5 wks later, apx 11/21/15 started with thigh weakness, neuro dx''ed as variant Guillain-Barre, resolved March 2016.


Changed on 12/24/2020

VAERS ID: 628969 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:California
Vaccinated:2015-10-16
Onset:0000-00-00
Submitted:0000-00-00
Entered:2016-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U5319AA / UNK LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH U28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Injection site rash, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: EMG - proximal muscle membrane irritabilities 1/20/16
CDC 'Split Type':

Write-up: Rash at injection site after 2 days after vaccine and then 5 wks later, apx 11/21/15 started with thigh weakness, neuro dx''ed as variant Guillain-Barre, resolved March 2016.


Changed on 12/30/2020

VAERS ID: 628969 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:California
Vaccinated:2015-10-16
Onset:0000-00-00
Submitted:0000-00-00
Entered:2016-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U5319AA / UNK LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH U28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Injection site rash, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: EMG - proximal muscle membrane irritabilities 1/20/16
CDC 'Split Type':

Write-up: Rash at injection site after 2 days after vaccine and then 5 wks later, apx 11/21/15 started with thigh weakness, neuro dx''ed as variant Guillain-Barre, resolved March 2016.


Changed on 5/7/2021

VAERS ID: 628969 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:California
Vaccinated:2015-10-16
Onset:0000-00-00
Submitted:0000-00-00
Entered:2016-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U5319AA / UNK LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH U28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Injection site rash, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: EMG - proximal muscle membrane irritabilities 1/20/16
CDC 'Split Type':

Write-up: Rash at injection site after 2 days after vaccine and then 5 wks later, apx 11/21/15 started with thigh weakness, neuro dx''ed as variant Guillain-Barre, resolved March 2016.


Changed on 5/21/2021

VAERS ID: 628969 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:California
Vaccinated:2015-10-16
Onset:0000-00-00
Submitted:0000-00-00
Entered:2016-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U5319AA / UNK LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH U28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Injection site rash, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: EMG - proximal muscle membrane irritabilities 1/20/16
CDC 'Split Type':

Write-up: Rash at injection site after 2 days after vaccine and then 5 wks later, apx 11/21/15 started with thigh weakness, neuro dx''ed as variant Guillain-Barre, resolved March 2016.

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