Operation Desert Shield/Storm/Sabre Deployment Report

DATE Completed:           TIME (24hr): 

Veteran ID Code: 

Branch of Service (1990-1991): [] Army   [] Air Force   [] Navy   [] Marines   [] Coast Guard

[] Other:

Section: ODS/S/S Deployment History and Combat Exposure, Location:

Where were you stationed (location or living) in July, 1990? 

About your ODS/S/S tour of duty:

What date were you deployed to (arrived in) the Middle East?    (dd):    []1990   []1991

What was your arrival location?  (could provide drop down menu)

How long did you stay at this location?    (approximate # days)

Then, to what location were you deployed?   (could provide drop down menu)

In what region were you primarily based?
[] Combat zone - West (Airborne Corps)
[] Combat zone - Army, VII Corps
[] Combat zone - Marines, Kuwait
[] Sea duty - Persian Gulf
[] Non-Combat zone - Saudi Arabia
[] Air Force
[] Air Force, ground crew


Between August, 1990 and February, 1991, while you were stationed in Saudi Arabia:
Name of unit:

Yes  /  No  / Don't Know

[]   []   []   1. Were you given multiple vaccinations?
[]   []   []   2. Were you given an Anthrax vaccination?
[]   []   []   3. Did you ever get sick after a vaccination?
[]   []   []   4. Did you take PB (pyridostigmine bromide) tablets?
[]   []   []   5. Did you take PB for more than 2 weeks?
[]   []   []   6. Did you take PB for more than 8 weeks?
[]   []   []   7. Did you have loose stools or diarrhea after taking PB tablets?
[]   []   []   8. Did you have other episodes of diarrhea?
[]   []   []   9. Were there many insects in your location?
[]   []   []   10. Did you get at least several insect bites?
[]   []   []   11. Did you wear clothing that had been treated with insecticides?
[]   []   []   12. Were insecticides sprayed regularly around your area?
[]   []   []   13. Did you wear a flea collar?
[]   []   []   14. Were you near where SCUD missiles exploded (within 1 mile)?
[]   []   []   15. Did chemical weapons alarms go off in your area?
[]   []   []   16. Did you put on MOPP gear one or more times?
[]   []   []   17. Did you put on MOPP gear more than 5 times or stay in it?
[]   []   []   18. Were you exposed to smoke from burn-pits, burning trash, or feces?
[]   []   []   19. Were you exposed to oil-well fire smoke?
[]   []   []   20. Was oil-well fire smoke ever so thick you could not see the sun?


What other exposures do you believe you had while you were stationed in Saudi Arabia:

Yes  /  No  / Don't Know

[]   []   []   21. Smoke or fumes from tent heaters?
[]   []   []   22. Smoking tobacco cigarrettes while in the Middle East?
[]   []   []   23. Cigarette smoke from others (passive exposure?
[]   []   []   24. Diesel and/or other petrochemical fumes?
[]   []   []   25. Skin exposure to diesel fuel, jet fuel, other petrochemical substances?
[]   []   []   26. CARC (Chemical Agent Resistant Compound) - paint?
[]   []   []   27. Other paint and/or solvents and/or petrochemical substances?
[]   []   []   28. Depleted uranium?
[]   []   []   29. Microwaves?
[]   []   []   30. Mustard gas or other chemical warfare agents
[]   []   []   31. Eating or drinking food contaminated with smoke,oil, or other chemical?
[]   []   []   32. Eating food other than provided by armed forces?
[]   []   []   33. Bathing in or drinking water contaminated with smoke or other chemical?
[]   []   []   34. Bathing in water other than provided by armed forces?
[]   []   []   35. Qarmat Ali Water Treatment Plant (orange dust, Sodium Dichromate)?


Where were you located January 15, 1991, at the start of Desert Storm   (could provide drop down menu)

1. Did you ever go out on combat patrols or have other very dangerous duties?
No         1-3 times      4-12 times      13-20 times      more than 20 times

2. Were you ever under enemy fire (including Scuds and other rockets)?
Never      1 day         2-6 days         1-4 weeks         more than 4 weeks

3. What percentage of the people in your unit was killed, wounded or missing in action?
None      1-10%      11-25% times       26-50% times      more than 50%

4. How often were you in imminent danger of being injured or killed?
Never      1-3 times      4-12 times      13-20 times      more than 20 times

5.Did you seek or receive medical attention during this deployment?
Never         once         twice            3-5 times         more than 5 times

Regarding possible exposure to sarin nerve gas:

Yes  /  No  / Don't Know

[]   []   []   In March, 1991, were you in a region exposed to the Kamisiyah sarin nerve gas plume?
[]   []   []   Did you receive a letter stating you were exposed to the Kamisiyah sarin nerve gas plume?
[]   []   []   Do you believe that you were exposed to the Kamisiyah sarin nerve gas at any other time?



Gulf War Illness symptom and Traumatic Brain Injury screen

Developing - WRIISC modification of Kansas/CDC criteria

    

DATE Completed:           TIME (24hr): 

TEXT FOR YOUR RECORDS

DATA RECORD

Site constructed and maintained by:  J. Wesson Ashford, M.D., Ph.D.
    Electronic mail address:   washford@medafile.com
Forms and papers provided on this site may be copyright protected by their authors or publishers.
HTML code copyright by J. Wesson Ashford, M.D., Ph.D., to retain rights for use.
Dr. Ashford is licensed to practice medicine in the states of California and Kentucky.
          Last update:  08/12/2021