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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 44800 |
VAERS Form: | |
Age: | 40.3 |
Sex: | Female |
Location: | Massachusetts |
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-14 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA VACCINE 1991-1992 / WYETH | 4918152 / 0 | A / IM |
IPV: IPV / MERIEUX INST | C1150 / 0 | A / SC |
MEN: MENOMUNE A/C/Y/W / CONNAUGHT LABS | 0M21074 / 0 | A / SC |
Administered by: Private Purchased by: Unknown
Symptoms: NEURITIS OPTIC, CONJUNCTIVITIS, PHOTOPHOBIA, PUPIL DIS, CHORIORETINITIS
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-14 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA VACCINE 1991-1992 INFLUENZA (SEASONAL) (NO BRAND NAME, 91-92) / WYETH WYETH PHARMACEUTICALS, INC | 4918152 / 0 | A / IM |
IPV: IPV / MERIEUX INST | C1150 / 0 | A / SC |
MEN: MENOMUNE A/C/Y/W MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABS CONNAUGHT LABORATORIES | 0M21074 / 0 | A / SC |
Administered by: Private Purchased by: Unknown Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect, NEURITIS OPTIC, CONJUNCTIVITIS, PHOTOPHOBIA, PUPIL DIS, CHORIORETINITIS
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 91-92) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH | 4918152 / 0 | A / IM |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 0 | A / SC |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 0 | A / IM |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 0 | A / IM |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 0 | A / SC |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 0 | A / IM |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 0 | A / IM |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 0 | A / SC |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 0 | A / IM |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 0 | A / SC |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 0 | A - / IM IM A |
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. | C1150 / 0 | - / SC A |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 0 | A - / SC SC A |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 0 1 | - / IM A |
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. | C1150 / 0 1 | - / SC A |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 0 1 | - / SC A |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 1 | - / IM A |
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. | C1150 / 1 | - / SC A |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 1 | - / SC A |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 1 | - / IM A |
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. | C1150 / 1 | - / SC A |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 1 | - / SC A |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 1 | - / IM A |
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. | C1150 / 1 | - / SC A |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 1 | - / SC A |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 1 | - / IM A |
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. | C1150 / 1 | - / SC A |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 1 | - / SC A |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 1 | - / IM A |
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. | C1150 / 1 | - / SC A |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 1 | - / SC A |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 1 | - / IM A |
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. | C1150 / 1 | - / SC A |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 1 | - / SC A |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
Vaccinated: | 1991-11-21 |
Onset: | 1991-12-01 |
Submitted: | 1992-09-06 |
Entered: | 1992-09-10 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918152 / 1 | - / IM A |
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. | C1150 / 1 | - / SC A |
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES | 0M21074 / 1 | - / SC A |
Administered by: Private Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
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: 3
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;
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