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This is VAERS ID 26712

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26712
VAERS Form:
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS OF11211 / - - / IM

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

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? No
Previous Vaccinations:
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.

Changed on 12/30/2006

VAERS ID: 26712 Before After
VAERS Form:
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS OF11211 / - - / IM

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

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? No
Previous Vaccinations:
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Bell''''s Palsy.

Changed on 12/8/2009

VAERS ID: 26712 Before After
VAERS Form:
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-27 1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABS CONNAUGHT LABORATORIES OF11211 / - - / IM

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

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? No
Previous Vaccinations:
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''''s Bell''s Palsy.

Changed on 8/31/2010

VAERS ID: 26712 Before After
VAERS Form:
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / - - / IM

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

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? No
Previous Vaccinations:
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.

Changed on 7/7/2013

VAERS ID: 26712 Before After
VAERS Form:
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / - - / IM

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

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? No
Previous Vaccinations:
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.

Changed on 5/14/2017

VAERS ID: 26712 Before After
VAERS Form:
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / - - / IM

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

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.

Changed on 9/14/2017

VAERS ID: 26712 Before After
VAERS Form:(blank) 1
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / - UNK - / IM

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

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.

Changed on 2/14/2018

VAERS ID: 26712 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / UNK - / IM

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

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.

Changed on 6/14/2018

VAERS ID: 26712 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / UNK - / IM

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

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.

Changed on 8/14/2018

VAERS ID: 26712 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / UNK - / IM

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

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.

Changed on 9/14/2018

VAERS ID: 26712 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / UNK - / IM

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

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.

Changed on 10/14/2018

VAERS ID: 26712 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / UNK - / IM

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

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.

Changed on 12/24/2020

VAERS ID: 26712 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / UNK - / IM

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

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.

Changed on 12/30/2020

VAERS ID: 26712 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-16
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11211 / UNK - / IM

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

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Mixed beef & Pork insulin; Maxzide
Current Illness:
Preexisting Conditions: Hematochromatosis, Diabetes, Cirrhosis, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed Lt Bell''s Palsy.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26712&WAYBACKHISTORY=ON


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