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This is VAERS ID 92803

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 92803
VAERS Form:
Age:36.3
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 / WYETH 4968145 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: DEAF, COORDINAT ABNORM, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 12/8/2009

VAERS ID: 92803 Before After
VAERS Form:
Age:36.3
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-17 1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 INFLUENZA (SEASONAL) (FLUSHIELD 96-97) / WYETH WYETH PHARMACEUTICALS, INC 4968145 / - - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Coordination abnormal, Deafness, Tinnitus, DEAF, COORDINAT ABNORM, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 8/31/2010

VAERS ID: 92803 Before After
VAERS Form:
Age:36.3
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 96-97) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4968145 / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 7/7/2013

VAERS ID: 92803 Before After
VAERS Form:
Age:36.3
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 2/14/2017

VAERS ID: 92803 Before After
VAERS Form:
Age:36.3 36.0
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 5/14/2017

VAERS ID: 92803 Before After
VAERS Form:
Age:36.0
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 9/14/2017

VAERS ID: 92803 Before After
VAERS Form:(blank) 1
Age:36.0
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / - UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 2/14/2018

VAERS ID: 92803 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 6/14/2018

VAERS ID: 92803 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 8/14/2018

VAERS ID: 92803 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 9/14/2018

VAERS ID: 92803 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 10/14/2018

VAERS ID: 92803 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 12/24/2020

VAERS ID: 92803 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 12/30/2020

VAERS ID: 92803 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 5/7/2021

VAERS ID: 92803 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;


Changed on 5/14/2021

VAERS ID: 92803 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:California
Vaccinated:1996-10-24
Onset:1996-10-25
Submitted:1996-11-05
Entered:1996-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968145 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Deafness, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 24OCT96 pt recv flu vax, woke up next morning w/dysequilibrium, tinnitus progressive hearing loss in one ear;profound sensorineural hearing loss;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=92803&WAYBACKHISTORY=ON


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