National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 69389

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 69389
VAERS Form:
Age:75.0
Sex:Female
Location:California
Vaccinated:1994-11-23
Onset:1994-11-28
Submitted:0000-00-00
Entered:1994-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1994-1995 / WYETH 4948120 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: MALAISE, CREATINE PK INC, MYELITIS, PARALYSIS, CSF ABNORM

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 30nov elevated ck(232 u/l);29nov csf total protein elevated (112 mg/dl);
CDC 'Split Type':

Write-up: pt recvd vax on 23nov94; felt ill by next day; to hosp 28nov94 w/ leg paralysis; pt dx w/ idiopathic transverse myelitis of the spine;as of 1dec94 sxs improved but remained hosp;


Changed on 12/8/2009

VAERS ID: 69389 Before After
VAERS Form:
Age:75.0
Sex:Female
Location:California
Vaccinated:1994-11-23
Onset:1994-11-28
Submitted:0000-00-00
Entered:1994-12-13 1994-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1994-1995 INFLUENZA (SEASONAL) (FLUSHIELD 94-95) / WYETH WYETH PHARMACEUTICALS, INC 4948120 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood creatine phosphokinase increased, Malaise, Myelitis, Paralysis, CSF test abnormal, MALAISE, CREATINE PK INC, MYELITIS, PARALYSIS, CSF ABNORM

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 30nov elevated ck(232 u/l);29nov csf total protein elevated (112 mg/dl);
CDC 'Split Type':

Write-up: pt recvd vax on 23nov94; felt ill by next day; to hosp 28nov94 w/ leg paralysis; pt dx w/ idiopathic transverse myelitis of the spine;as of 1dec94 sxs improved but remained hosp;


Changed on 8/31/2010

VAERS ID: 69389 Before After
VAERS Form:
Age:75.0
Sex:Female
Location:California
Vaccinated:1994-11-23
Onset:1994-11-28
Submitted:0000-00-00
Entered:1994-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 94-95) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4948120 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood creatine phosphokinase increased, Malaise, Myelitis, Paralysis, CSF test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 30nov elevated ck(232 u/l);29nov csf total protein elevated (112 mg/dl);
CDC 'Split Type':

Write-up: pt recvd vax on 23nov94; felt ill by next day; to hosp 28nov94 w/ leg paralysis; pt dx w/ idiopathic transverse myelitis of the spine;as of 1dec94 sxs improved but remained hosp;


Changed on 7/7/2013

VAERS ID: 69389 Before After
VAERS Form:
Age:75.0
Sex:Female
Location:California
Vaccinated:1994-11-23
Onset:1994-11-28
Submitted:0000-00-00
Entered:1994-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948120 / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948120 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood creatine phosphokinase increased, Malaise, Myelitis, Paralysis, CSF test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 30nov elevated ck(232 u/l);29nov csf total protein elevated (112 mg/dl);
CDC 'Split Type':

Write-up: pt recvd vax on 23nov94; felt ill by next day; to hosp 28nov94 w/ leg paralysis; pt dx w/ idiopathic transverse myelitis of the spine;as of 1dec94 sxs improved but remained hosp;


Changed on 5/14/2017

VAERS ID: 69389 Before After
VAERS Form:
Age:75.0
Sex:Female
Location:California
Vaccinated:1994-11-23
Onset:1994-11-28
Submitted:0000-00-00
Entered:1994-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948120 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood creatine phosphokinase increased, Malaise, Myelitis, Paralysis, CSF test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 30nov elevated ck(232 u/l);29nov csf total protein elevated (112 mg/dl);
CDC 'Split Type':

Write-up: pt recvd vax on 23nov94; felt ill by next day; to hosp 28nov94 w/ leg paralysis; pt dx w/ idiopathic transverse myelitis of the spine;as of 1dec94 sxs improved but remained hosp;


Changed on 9/14/2017

VAERS ID: 69389 Before After
VAERS Form:(blank) 1
Age:75.0
Sex:Female
Location:California
Vaccinated:1994-11-23
Onset:1994-11-28
Submitted:0000-00-00
Entered:1994-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948120 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood creatine phosphokinase increased, Malaise, Myelitis, Paralysis, CSF test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 30nov elevated ck(232 u/l);29nov csf total protein elevated (112 mg/dl);
CDC 'Split Type':

Write-up: pt recvd vax on 23nov94; felt ill by next day; to hosp 28nov94 w/ leg paralysis; pt dx w/ idiopathic transverse myelitis of the spine;as of 1dec94 sxs improved but remained hosp;


Changed on 2/14/2018

VAERS ID: 69389 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:California
Vaccinated:1994-11-23
Onset:1994-11-28
Submitted:0000-00-00
Entered:1994-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948120 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood creatine phosphokinase increased, Malaise, Myelitis, Paralysis, CSF test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 30nov elevated ck(232 u/l);29nov csf total protein elevated (112 mg/dl);
CDC 'Split Type':

Write-up: pt recvd vax on 23nov94; felt ill by next day; to hosp 28nov94 w/ leg paralysis; pt dx w/ idiopathic transverse myelitis of the spine;as of 1dec94 sxs improved but remained hosp;


Changed on 6/14/2018

VAERS ID: 69389 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:California
Vaccinated:1994-11-23
Onset:1994-11-28
Submitted:0000-00-00
Entered:1994-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948120 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood creatine phosphokinase increased, Malaise, Myelitis, Paralysis, CSF test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 30nov elevated ck(232 u/l);29nov csf total protein elevated (112 mg/dl);
CDC 'Split Type':

Write-up: pt recvd vax on 23nov94; felt ill by next day; to hosp 28nov94 w/ leg paralysis; pt dx w/ idiopathic transverse myelitis of the spine;as of 1dec94 sxs improved but remained hosp;


Changed on 8/14/2018

VAERS ID: 69389 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:California
Vaccinated:1994-11-23
Onset:1994-11-28
Submitted:0000-00-00
Entered:1994-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948120 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood creatine phosphokinase increased, Malaise, Myelitis, Paralysis, CSF test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 30nov elevated ck(232 u/l);29nov csf total protein elevated (112 mg/dl);
CDC 'Split Type':

Write-up: pt recvd vax on 23nov94; felt ill by next day; to hosp 28nov94 w/ leg paralysis; pt dx w/ idiopathic transverse myelitis of the spine;as of 1dec94 sxs improved but remained hosp;


Changed on 9/14/2018

VAERS ID: 69389 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:California
Vaccinated:1994-11-23
Onset:1994-11-28
Submitted:0000-00-00
Entered:1994-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948120 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood creatine phosphokinase increased, Malaise, Myelitis, Paralysis, CSF test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 30nov elevated ck(232 u/l);29nov csf total protein elevated (112 mg/dl);
CDC 'Split Type':

Write-up: pt recvd vax on 23nov94; felt ill by next day; to hosp 28nov94 w/ leg paralysis; pt dx w/ idiopathic transverse myelitis of the spine;as of 1dec94 sxs improved but remained hosp;


Changed on 10/14/2018

VAERS ID: 69389 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:California
Vaccinated:1994-11-23
Onset:1994-11-28
Submitted:0000-00-00
Entered:1994-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948120 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood creatine phosphokinase increased, Malaise, Myelitis, Paralysis, CSF test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 30nov elevated ck(232 u/l);29nov csf total protein elevated (112 mg/dl);
CDC 'Split Type':

Write-up: pt recvd vax on 23nov94; felt ill by next day; to hosp 28nov94 w/ leg paralysis; pt dx w/ idiopathic transverse myelitis of the spine;as of 1dec94 sxs improved but remained hosp;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=69389&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166