National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 198299

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 198299
VAERS Form:
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (UNKNOWN MFR) / UNKNOWN MFR - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: DIARRHEA

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type':

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications"taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The


Changed on 12/8/2009

VAERS ID: 198299 Before After
VAERS Form:
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (UNKNOWN MFR) INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MFR UNKNOWN MANUFACTURER - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea, DIARRHEA

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': (blank) PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications"taken medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


Changed on 7/7/2013

VAERS ID: 198299 Before After
VAERS Form:
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


Changed on 12/14/2016

VAERS ID: 198299 Before After
VAERS Form:
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


Changed on 9/14/2017

VAERS ID: 198299 Before After
VAERS Form:(blank) 1
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


Changed on 2/14/2018

VAERS ID: 198299 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


Changed on 6/14/2018

VAERS ID: 198299 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


Changed on 8/14/2018

VAERS ID: 198299 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


Changed on 9/14/2018

VAERS ID: 198299 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


Changed on 10/14/2018

VAERS ID: 198299 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


Changed on 12/24/2020

VAERS ID: 198299 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


Changed on 12/30/2020

VAERS ID: 198299 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


Changed on 5/7/2021

VAERS ID: 198299 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


Changed on 5/21/2021

VAERS ID: 198299 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted:0000-00-00
Entered:2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea

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: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC 'Split Type': PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=198299&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166