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This is VAERS ID 40600

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 40600
VAERS Form:
Age:37.4
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: UNK. POLIOVIRUS LIVE ORAL TRIVALENT / UNCLASSIFIED - / - - / -

Administered by: Public      Purchased by: Unknown
Symptoms: PARALYSIS FACIAL, PARALYSIS, EYE DIS, HEM

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 12/8/2009

VAERS ID: 40600 Before After
VAERS Form:
Age:37.4
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-04-01 1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: UNK. POLIOVIRUS LIVE ORAL TRIVALENT POLIO VIRUS, ORAL (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Public      Purchased by: Unknown Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage, PARALYSIS FACIAL, PARALYSIS, EYE DIS, HEM

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 2/14/2017

VAERS ID: 40600 Before After
VAERS Form:
Age:37.4 37.0
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Public      Purchased by: Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 5/14/2017

VAERS ID: 40600 Before After
VAERS Form:
Age:37.0
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Public      Purchased by: Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o 37y/o~ ()~~~In patient
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 9/14/2017

VAERS ID: 40600 Before After
VAERS Form:(blank) 1
Age:37.0
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o~ ()~~~In patient
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 2/14/2018

VAERS ID: 40600 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o~ ()~~~In patient
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 6/14/2018

VAERS ID: 40600 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o~ ()~~~In patient
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 8/14/2018

VAERS ID: 40600 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o~ ()~~~In patient
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 9/14/2018

VAERS ID: 40600 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o~ ()~~~In patient
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 10/14/2018

VAERS ID: 40600 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o~ ()~~~In patient
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 12/24/2020

VAERS ID: 40600 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o~ ()~~~In patient
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 12/30/2020

VAERS ID: 40600 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o~ ()~~~In patient
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 5/7/2021

VAERS ID: 40600 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o~ ()~~~In patient
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;


Changed on 5/21/2021

VAERS ID: 40600 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Illinois
Vaccinated:1987-11-01
Onset:0000-00-00
Submitted:1991-11-01
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Eye disorder, Facial palsy, Paralysis, Haemorrhage

Life Threatening? Yes
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? No
Previous Vaccinations: pt exp rxn @ 37y/o~ ()~~~In patient
Other Medications: NA
Current Illness: f/u cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Bleeding of spoil, eye trenching, paralysis in mouth & shoulders chest;

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