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This is VAERS ID 25634

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25634
VAERS Form:
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS 01889P / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: COMA, HYPOGLYCEM REACT

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type':

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 12/8/2009

VAERS ID: 25634 Before After
VAERS Form:
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-07 1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS 01889P / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia, COMA, HYPOGLYCEM REACT

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': (blank) 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 8/31/2010

VAERS ID: 25634 Before After
VAERS Form:
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 4/13/2011

VAERS ID: 25634 Before After
VAERS Form:
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 5/13/2011

VAERS ID: 25634 Before After
VAERS Form:
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 6/11/2011

VAERS ID: 25634 Before After
VAERS Form:
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 7/7/2013

VAERS ID: 25634 Before After
VAERS Form:
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 5/14/2017

VAERS ID: 25634 Before After
VAERS Form:
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 9/14/2017

VAERS ID: 25634 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / - UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 2/14/2018

VAERS ID: 25634 Before After
VAERS Form:1
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 6/14/2018

VAERS ID: 25634 Before After
VAERS Form:1
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 8/14/2018

VAERS ID: 25634 Before After
VAERS Form:1
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 9/14/2018

VAERS ID: 25634 Before After
VAERS Form:1
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.


Changed on 10/14/2018

VAERS ID: 25634 Before After
VAERS Form:1
Age:
Sex:Female
Location:California
Vaccinated:1989-01-01
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01889P / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Coma, Hypoglycaemia

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: Vitamin B12 injections
Current Illness:
Preexisting Conditions: pt was elderly /w a hx of pernicious anemia
Allergies:
Diagnostic Lab Data: BS = 20mg/100ml
CDC 'Split Type': 904089020

Write-up: Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.

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