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This is VAERS ID 30242

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

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     Extended hospital stay? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type':

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;

Changed on 12/8/2009

VAERS ID: 30242 Before After
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 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     Extended hospital stay? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': (blank) 891099001B

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;

Changed on 8/31/2010

VAERS ID: 30242 Before After
VAERS Form:
Age:47.1
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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;

Changed on 7/7/2013

VAERS ID: 30242 Before After
VAERS Form:
Age:47.1
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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;

Changed on 12/14/2016

VAERS ID: 30242 Before After
VAERS Form:
Age:47.1
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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;

Changed on 2/14/2017

VAERS ID: 30242 Before After
VAERS Form:
Age:47.1 47.0
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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;

Changed on 5/14/2017

VAERS ID: 30242 Before After
VAERS Form:
Age:47.0
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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;

Changed on 9/14/2017

VAERS ID: 30242 Before After
VAERS Form:(blank) 1
Age:47.0
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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;

Changed on 2/14/2018

VAERS ID: 30242 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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;

Changed on 6/14/2018

VAERS ID: 30242 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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;

Changed on 8/14/2018

VAERS ID: 30242 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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;

Changed on 9/14/2018

VAERS ID: 30242 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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;

Changed on 10/14/2018

VAERS ID: 30242 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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;

Changed on 12/24/2020

VAERS ID: 30242 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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;

Changed on 12/30/2020

VAERS ID: 30242 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Colorado
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     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI-lesion on lt side of brain, biopsy-inconclusive results r/o a glimona & multiple sclerosis.
CDC 'Split Type': 891099001B

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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