National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 105440

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 105440
VAERS Form:
Age:34.8
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1997-1998 / CONNAUGHT LABS 306423 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: PARALYSIS FACIAL

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 12/8/2009

VAERS ID: 105440 Before After
VAERS Form:
Age:34.8
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-09 1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1997-1998 INFLUENZA (SEASONAL) (FLUZONE 97-98) / CONNAUGHT LABS CONNAUGHT LABORATORIES 306423 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, PARALYSIS FACIAL

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 8/31/2010

VAERS ID: 105440 Before After
VAERS Form:
Age:34.8
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 97-98) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 7/7/2013

VAERS ID: 105440 Before After
VAERS Form:
Age:34.8
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 2/14/2017

VAERS ID: 105440 Before After
VAERS Form:
Age:34.8 34.0
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 5/14/2017

VAERS ID: 105440 Before After
VAERS Form:
Age:34.0
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 9/14/2017

VAERS ID: 105440 Before After
VAERS Form:(blank) 1
Age:34.0
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 2/14/2018

VAERS ID: 105440 Before After
VAERS Form:1
Age:34.0
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 6/14/2018

VAERS ID: 105440 Before After
VAERS Form:1
Age:34.0
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 8/14/2018

VAERS ID: 105440 Before After
VAERS Form:1
Age:34.0
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 9/14/2018

VAERS ID: 105440 Before After
VAERS Form:1
Age:34.0
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 10/14/2018

VAERS ID: 105440 Before After
VAERS Form:1
Age:34.0
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 12/24/2020

VAERS ID: 105440 Before After
VAERS Form:1
Age:34.0
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 12/30/2020

VAERS ID: 105440 Before After
VAERS Form:1
Age:34.0
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 5/7/2021

VAERS ID: 105440 Before After
VAERS Form:1
Age:34.0
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;


Changed on 5/14/2021

VAERS ID: 105440 Before After
VAERS Form:1
Age:34.0
Sex:Male
Location:Florida
Vaccinated:1997-10-29
Onset:1997-11-04
Submitted:0000-00-00
Entered:1997-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 306423 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SMAC/CBC/sed rate WNL;
CDC 'Split Type':

Write-up: development of lt facial nerve paralysis/palsy;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=105440&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166