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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 30242 |
VAERS Form: | |
Age: | 47.1 |
Sex: | Female |
Location: | Colorado |
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-05-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH | 4908181 / 0 | A / - |
Administered by: Private Purchased by: Unknown
Symptoms: NEUROPATHY, ABSCESS, INFARCT CEREBR, CEREBROVASC ACCID, NEOPL CNS
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-05-08 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) / WYETH WYETH PHARMACEUTICALS, INC | 4908181 / 0 | A / - |
Administered by: Private Purchased by: Unknown Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal, NEUROPATHY, ABSCESS, INFARCT CEREBR, CEREBROVASC ACCID, NEOPL CNS
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH | 4908181 / 0 | A / - |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 0 | A / - |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 0 | A / - |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 0 | A / - |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 0 | A / - |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 0 | A / - |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 0 | A - / - A |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 0 1 | - / A |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 1 | - / A |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 1 | - / A |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 1 | - / A |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 1 | - / A |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 1 | - / A |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 1 | - / A |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
Vaccinated: | 1990-10-26 |
Onset: | 1990-11-06 |
Submitted: | 1991-04-05 |
Entered: | 1991-04-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4908181 / 1 | - / A |
Administered by: Private Purchased by: Private
Symptoms: Abscess, Central nervous system neoplasm, Cerebral infarction, Cerebrovascular accident, Multiple sclerosis, Neuropathy, Speech disorder, Thinking abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 46
Write-up: Pt experienced severe vomiting & cold sx approx 1 wk /p receiving vax on 9NOV90; Developed severe speaking difficulties 4mo later & was hospitalized; MRI revealed a lesion on the lt side of brain; dx w/demyelinating encephalopathy;
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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=30242&WAYBACKHISTORY=ON
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