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This is VAERS ID 84195

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 84195
VAERS Form:
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1995-1996 / WYETH - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: DEAF, MYALGIA, TINNITUS

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 12/8/2009

VAERS ID: 84195 Before After
VAERS Form:
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-04-03 1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1995-1996 INFLUENZA (SEASONAL) (FLUSHIELD 95-96) / WYETH WYETH PHARMACEUTICALS, INC - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Deafness, Myalgia, Tinnitus, DEAF, MYALGIA, TINNITUS

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 8/31/2010

VAERS ID: 84195 Before After
VAERS Form:
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 95-96) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 7/7/2013

VAERS ID: 84195 Before After
VAERS Form:
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 5/14/2017

VAERS ID: 84195 Before After
VAERS Form:
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 9/14/2017

VAERS ID: 84195 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / - UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 2/14/2018

VAERS ID: 84195 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 6/14/2018

VAERS ID: 84195 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 8/14/2018

VAERS ID: 84195 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 9/14/2018

VAERS ID: 84195 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 10/14/2018

VAERS ID: 84195 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 12/24/2020

VAERS ID: 84195 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 12/30/2020

VAERS ID: 84195 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 5/7/2021

VAERS ID: 84195 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;


Changed on 5/14/2021

VAERS ID: 84195 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-11-28
Entered:1996-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Deafness, Myalgia, Tinnitus

Life Threatening? No
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895347004L

Write-up: pt recv vax & devel tinnitus & unilateral sudden hearing loss that was classified as profound;

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=84195&WAYBACKHISTORY=ON


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