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This is VAERS ID 90593

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 90593
VAERS Form:
Age:65.8
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0128D / - LA / IM
HEPA: HAVRIX / SMITHKLINE 0597D / - GM / IM
OPV: ORIMUNE / LEDERLE 0746B08 / - - / PO
TD: TD ADSORBED, ADULTS / CONNAUGHT LABS 6F81202 / - GM / IM

Administered by: Private      Purchased by: Unknown
Symptoms: PARALYSIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 12/8/2009

VAERS ID: 90593 Before After
VAERS Form:
Age:65.8
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-10 1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0128D / - LA / IM
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM 0597D / - GM / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0746B08 / - - / PO
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 6F81202 / - GM / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Paralysis, PARALYSIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 2/14/2017

VAERS ID: 90593 Before After
VAERS Form:
Age:65.8 65.0
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0128D / - LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0597D / - GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 0746B08 / - - / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 6F81202 / - GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 5/14/2017

VAERS ID: 90593 Before After
VAERS Form:
Age:65.0
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0128D / - LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0597D / - GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0746B08 / - - / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 6F81202 / - GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 9/14/2017

VAERS ID: 90593 Before After
VAERS Form:(blank) 1
Age:65.0
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0128D / - UNK LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0597D / - UNK GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0746B08 / - UNK - MO / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 6F81202 / - UNK GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 2/14/2018

VAERS ID: 90593 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0128D / UNK LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0597D / UNK GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0746B08 / UNK MO / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 6F81202 / UNK GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 6/14/2018

VAERS ID: 90593 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0128D / UNK LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0597D / UNK GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0746B08 / UNK MO / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 6F81202 / UNK GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 8/14/2018

VAERS ID: 90593 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0128D / UNK LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0597D / UNK GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0746B08 / UNK MO / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 6F81202 / UNK GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 9/14/2018

VAERS ID: 90593 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0128D / UNK LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0597D / UNK GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0746B08 / UNK MO / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 6F81202 / UNK GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 10/14/2018

VAERS ID: 90593 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0128D / UNK LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0597D / UNK GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0746B08 / UNK MO / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 6F81202 / UNK GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 12/24/2020

VAERS ID: 90593 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0128D / UNK LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0597D / UNK GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0746B08 / UNK MO / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 6F81202 / UNK GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 12/30/2020

VAERS ID: 90593 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0128D / UNK LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0597D / UNK GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0746B08 / UNK MO / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 6F81202 / UNK GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 5/7/2021

VAERS ID: 90593 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0128D / UNK LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0597D / UNK GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0746B08 / UNK MO / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 6F81202 / UNK GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;


Changed on 5/21/2021

VAERS ID: 90593 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:California
Vaccinated:1996-09-12
Onset:1996-09-19
Submitted:1996-09-30
Entered:1996-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0128D / UNK LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0597D / UNK GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0746B08 / UNK MO / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 6F81202 / UNK GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC 'Split Type':

Write-up: PARALYSIS LEGS & ARMS 20SEP96;pt recv vax 12SEP96;rx ?-different facility;

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