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This is VAERS ID 25585

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25585
VAERS Form:
Age:
Sex:Unknown
Location:Connecticut
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B / WYETH 4898141 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: NO DRUG EFFECT

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: Throat culture - positive for Influenza A Virus
CDC 'Split Type':

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine


Changed on 12/8/2009

VAERS ID: 25585 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Connecticut
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-26 1990-07-23
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 4898141 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, NO DRUG EFFECT

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: Throat culture - positive for Influenza A Virus
CDC 'Split Type': (blank) B073090055

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine


Changed on 8/31/2010

VAERS ID: 25585 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Connecticut
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 89-90) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4898141 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective

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: Throat culture - positive for Influenza A Virus
CDC 'Split Type': B073090055

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine


Changed on 7/7/2013

VAERS ID: 25585 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Connecticut
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898141 / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898141 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective

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: Throat culture - positive for Influenza A Virus
CDC 'Split Type': B073090055

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine


Changed on 12/14/2016

VAERS ID: 25585 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Connecticut
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898141 / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898141 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective

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: Throat culture - positive for Influenza A Virus
CDC 'Split Type': B073090055

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine


Changed on 5/14/2017

VAERS ID: 25585 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Connecticut
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898141 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective

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: Throat culture - positive for Influenza A Virus
CDC 'Split Type': B073090055

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine


Changed on 9/14/2017

VAERS ID: 25585 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Connecticut
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898141 / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective

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: Throat culture - positive for Influenza A Virus
CDC 'Split Type': B073090055

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine


Changed on 2/14/2018

VAERS ID: 25585 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Connecticut
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898141 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective

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: Throat culture - positive for Influenza A Virus
CDC 'Split Type': B073090055

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine


Changed on 6/14/2018

VAERS ID: 25585 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Connecticut
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898141 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective

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: Throat culture - positive for Influenza A Virus
CDC 'Split Type': B073090055

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine


Changed on 8/14/2018

VAERS ID: 25585 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Connecticut
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898141 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective

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: Throat culture - positive for Influenza A Virus
CDC 'Split Type': B073090055

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine


Changed on 9/14/2018

VAERS ID: 25585 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Connecticut
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898141 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective

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: Throat culture - positive for Influenza A Virus
CDC 'Split Type': B073090055

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine


Changed on 10/14/2018

VAERS ID: 25585 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Connecticut
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898141 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective

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: Throat culture - positive for Influenza A Virus
CDC 'Split Type': B073090055

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine

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