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This is VAERS ID 25071

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25071
VAERS Form:
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B / WYETH 4898137 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: EDEMA INJECT SITE, INJECT SITE REACT, DIZZINESS, HEADACHE, FLU SYND

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4"" X 6"" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc


Changed on 12/30/2006

VAERS ID: 25071 Before After
VAERS Form:
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B / WYETH 4898137 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: EDEMA INJECT SITE, INJECT SITE REACT, DIZZINESS, HEADACHE, FLU SYND

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4"" 4/" X 6"" 6/" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc


Changed on 12/8/2009

VAERS ID: 25071 Before After
VAERS Form:
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-12 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B INFLUENZA (SEASONAL) (NO BRAND NAME, 89-90) / WYETH WYETH PHARMACEUTICALS, INC 4898137 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Influenza, Injection site oedema, Injection site pain, Injection site reaction, Nausea, EDEMA INJECT SITE, INJECT SITE REACT, DIZZINESS, HEADACHE, FLU SYND

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) B073089142

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4/" 4" X 6/" 6" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc


Changed on 8/31/2010

VAERS ID: 25071 Before After
VAERS Form:
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 89-90) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4898137 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Influenza, Injection site oedema, Injection site pain, Injection site reaction, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089142

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4" X 6" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc


Changed on 7/7/2013

VAERS ID: 25071 Before After
VAERS Form:
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898137 / - - / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898137 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Influenza, Injection site oedema, Injection site pain, Injection site reaction, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089142

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4" X 6" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc


Changed on 12/14/2016

VAERS ID: 25071 Before After
VAERS Form:
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898137 / - - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898137 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Influenza, Injection site oedema, Injection site pain, Injection site reaction, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089142

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4" X 6" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc


Changed on 5/14/2017

VAERS ID: 25071 Before After
VAERS Form:
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898137 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Influenza, Injection site oedema, Injection site pain, Injection site reaction, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089142

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4" X 6" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc


Changed on 9/14/2017

VAERS ID: 25071 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898137 / - UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Influenza, Injection site oedema, Injection site pain, Injection site reaction, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089142

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4" X 6" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc


Changed on 2/14/2018

VAERS ID: 25071 Before After
VAERS Form:1
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898137 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Influenza, Injection site oedema, Injection site pain, Injection site reaction, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089142

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4" X 6" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc


Changed on 6/14/2018

VAERS ID: 25071 Before After
VAERS Form:1
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898137 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Influenza, Injection site oedema, Injection site pain, Injection site reaction, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089142

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4" X 6" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc


Changed on 8/14/2018

VAERS ID: 25071 Before After
VAERS Form:1
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898137 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Influenza, Injection site oedema, Injection site pain, Injection site reaction, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089142

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4" X 6" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc


Changed on 9/14/2018

VAERS ID: 25071 Before After
VAERS Form:1
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898137 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Influenza, Injection site oedema, Injection site pain, Injection site reaction, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089142

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4" X 6" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc


Changed on 10/14/2018

VAERS ID: 25071 Before After
VAERS Form:1
Age:
Sex:Female
Location:Minnesota
Vaccinated:1989-10-27
Onset:1989-10-27
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898137 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Influenza, Injection site oedema, Injection site pain, Injection site reaction, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': B073089142

Write-up: pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4" X 6" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc

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