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This is VAERS ID 134075

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 134075
VAERS Form:
Age:47.0
Sex:Female
Location:Missouri
Vaccinated:1999-11-02
Onset:1999-11-05
Submitted:2000-02-07
Entered:2000-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1999-2000 / CONNAUGHT LABS U0163AA / 3 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: RASH, ARTHRALGIA, EDEMA PERIPH

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: tested for lupus, lyme, etc
CDC 'Split Type':

Write-up: 1 wk following vax, pt dvlped rash & was dxed w/ poison ivy. 2 wks following vax, pt dvlped pain in joints; tx w/ Celebrex & cortisone. On 11/18, pain was so bad & hands were swollen that pt went to ER.Tx w/ Tylenol w/ codeine.


Changed on 12/8/2009

VAERS ID: 134075 Before After
VAERS Form:
Age:47.0
Sex:Female
Location:Missouri
Vaccinated:1999-11-02
Onset:1999-11-05
Submitted:2000-02-07
Entered:2000-02-18 2000-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1999-2000 INFLUENZA (SEASONAL) (FLUZONE 99-00) / CONNAUGHT LABS CONNAUGHT LABORATORIES U0163AA / 3 RA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Arthralgia, Oedema peripheral, Rash, RASH, ARTHRALGIA, EDEMA PERIPH

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: tested for lupus, lyme, etc
CDC 'Split Type':

Write-up: 1 wk following vax, pt dvlped rash & was dxed w/ poison ivy. 2 wks following vax, pt dvlped pain in joints; tx w/ Celebrex & cortisone. On 11/18, pain was so bad & hands were swollen that pt went to ER.Tx w/ Tylenol w/ codeine.


Changed on 8/31/2010

VAERS ID: 134075 Before After
VAERS Form:
Age:47.0
Sex:Female
Location:Missouri
Vaccinated:1999-11-02
Onset:1999-11-05
Submitted:2000-02-07
Entered:2000-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 99-00) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0163AA / 3 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia, Oedema peripheral, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: tested for lupus, lyme, etc
CDC 'Split Type':

Write-up: 1 wk following vax, pt dvlped rash & was dxed w/ poison ivy. 2 wks following vax, pt dvlped pain in joints; tx w/ Celebrex & cortisone. On 11/18, pain was so bad & hands were swollen that pt went to ER.Tx w/ Tylenol w/ codeine.


Changed on 7/7/2013

VAERS ID: 134075 Before After
VAERS Form:
Age:47.0
Sex:Female
Location:Missouri
Vaccinated:1999-11-02
Onset:1999-11-05
Submitted:2000-02-07
Entered:2000-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0163AA / 3 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0163AA / 3 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia, Oedema peripheral, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: tested for lupus, lyme, etc
CDC 'Split Type':

Write-up: 1 wk following vax, pt dvlped rash & was dxed w/ poison ivy. 2 wks following vax, pt dvlped pain in joints; tx w/ Celebrex & cortisone. On 11/18, pain was so bad & hands were swollen that pt went to ER.Tx w/ Tylenol w/ codeine.


Changed on 9/14/2017

VAERS ID: 134075 Before After
VAERS Form:(blank) 1
Age:47.0
Sex:Female
Location:Missouri
Vaccinated:1999-11-02
Onset:1999-11-05
Submitted:2000-02-07
Entered:2000-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0163AA / 3 4 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia, Oedema peripheral, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: tested for lupus, lyme, etc
CDC 'Split Type':

Write-up: 1 wk following vax, pt dvlped rash & was dxed w/ poison ivy. 2 wks following vax, pt dvlped pain in joints; tx w/ Celebrex & cortisone. On 11/18, pain was so bad & hands were swollen that pt went to ER.Tx w/ Tylenol w/ codeine.


Changed on 2/14/2018

VAERS ID: 134075 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Missouri
Vaccinated:1999-11-02
Onset:1999-11-05
Submitted:2000-02-07
Entered:2000-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0163AA / 4 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia, Oedema peripheral, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: tested for lupus, lyme, etc
CDC 'Split Type':

Write-up: 1 wk following vax, pt dvlped rash & was dxed w/ poison ivy. 2 wks following vax, pt dvlped pain in joints; tx w/ Celebrex & cortisone. On 11/18, pain was so bad & hands were swollen that pt went to ER.Tx w/ Tylenol w/ codeine.


Changed on 6/14/2018

VAERS ID: 134075 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Missouri
Vaccinated:1999-11-02
Onset:1999-11-05
Submitted:2000-02-07
Entered:2000-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0163AA / 4 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia, Oedema peripheral, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: tested for lupus, lyme, etc
CDC 'Split Type':

Write-up: 1 wk following vax, pt dvlped rash & was dxed w/ poison ivy. 2 wks following vax, pt dvlped pain in joints; tx w/ Celebrex & cortisone. On 11/18, pain was so bad & hands were swollen that pt went to ER.Tx w/ Tylenol w/ codeine.


Changed on 8/14/2018

VAERS ID: 134075 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Missouri
Vaccinated:1999-11-02
Onset:1999-11-05
Submitted:2000-02-07
Entered:2000-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0163AA / 4 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia, Oedema peripheral, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: tested for lupus, lyme, etc
CDC 'Split Type':

Write-up: 1 wk following vax, pt dvlped rash & was dxed w/ poison ivy. 2 wks following vax, pt dvlped pain in joints; tx w/ Celebrex & cortisone. On 11/18, pain was so bad & hands were swollen that pt went to ER.Tx w/ Tylenol w/ codeine.


Changed on 9/14/2018

VAERS ID: 134075 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Missouri
Vaccinated:1999-11-02
Onset:1999-11-05
Submitted:2000-02-07
Entered:2000-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0163AA / 4 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia, Oedema peripheral, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: tested for lupus, lyme, etc
CDC 'Split Type':

Write-up: 1 wk following vax, pt dvlped rash & was dxed w/ poison ivy. 2 wks following vax, pt dvlped pain in joints; tx w/ Celebrex & cortisone. On 11/18, pain was so bad & hands were swollen that pt went to ER.Tx w/ Tylenol w/ codeine.


Changed on 10/14/2018

VAERS ID: 134075 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Missouri
Vaccinated:1999-11-02
Onset:1999-11-05
Submitted:2000-02-07
Entered:2000-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0163AA / 4 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia, Oedema peripheral, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: tested for lupus, lyme, etc
CDC 'Split Type':

Write-up: 1 wk following vax, pt dvlped rash & was dxed w/ poison ivy. 2 wks following vax, pt dvlped pain in joints; tx w/ Celebrex & cortisone. On 11/18, pain was so bad & hands were swollen that pt went to ER.Tx w/ Tylenol w/ codeine.


Changed on 12/24/2020

VAERS ID: 134075 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Missouri
Vaccinated:1999-11-02
Onset:1999-11-05
Submitted:2000-02-07
Entered:2000-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0163AA / 4 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia, Oedema peripheral, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: tested for lupus, lyme, etc
CDC 'Split Type':

Write-up: 1 wk following vax, pt dvlped rash & was dxed w/ poison ivy. 2 wks following vax, pt dvlped pain in joints; tx w/ Celebrex & cortisone. On 11/18, pain was so bad & hands were swollen that pt went to ER.Tx w/ Tylenol w/ codeine.


Changed on 12/30/2020

VAERS ID: 134075 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Missouri
Vaccinated:1999-11-02
Onset:1999-11-05
Submitted:2000-02-07
Entered:2000-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0163AA / 4 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia, Oedema peripheral, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: tested for lupus, lyme, etc
CDC 'Split Type':

Write-up: 1 wk following vax, pt dvlped rash & was dxed w/ poison ivy. 2 wks following vax, pt dvlped pain in joints; tx w/ Celebrex & cortisone. On 11/18, pain was so bad & hands were swollen that pt went to ER.Tx w/ Tylenol w/ codeine.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=134075&WAYBACKHISTORY=ON


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