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This is VAERS ID 25751

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25751
VAERS Form:
Age:63.0
Sex:Female
Location:Arizona
Vaccinated:0000-00-00
Onset:1989-11-15
Submitted:0000-00-00
Entered:1990-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS - / - - / -
PPV: PNU-IMUNE(R)23 / LEDERLE - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: RASH

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: Hydroxizine, ASA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Increasing, severe, generalized dermatitis of 2 wks duration. 1-2 days before onset received flu shot (Connaught) and Pnu-Imune.


Changed on 12/8/2009

VAERS ID: 25751 Before After
VAERS Form:
Age:63.0
Sex:Female
Location:Arizona
Vaccinated:0000-00-00
Onset:1989-11-15
Submitted:0000-00-00
Entered:1990-08-28 1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 INFLUENZA (SEASONAL) (FLUZONE 89-90) / CONNAUGHT LABS CONNAUGHT LABORATORIES - / - - / -
PPV: PNU-IMUNE(R)23 PNEUMO (PNU-IMUNE) / LEDERLE LEDERLE LABORATORIES - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash, RASH

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: Hydroxizine, ASA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 8902657.01

Write-up: Increasing, severe, generalized dermatitis of 2 wks duration. 1-2 days before onset received flu shot (Connaught) and Pnu-Imune.


Changed on 8/31/2010

VAERS ID: 25751 Before After
VAERS Form:
Age:63.0
Sex:Female
Location:Arizona
Vaccinated:0000-00-00
Onset:1989-11-15
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 89-90) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash

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: Hydroxizine, ASA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8902657.01

Write-up: Increasing, severe, generalized dermatitis of 2 wks duration. 1-2 days before onset received flu shot (Connaught) and Pnu-Imune.


Changed on 7/7/2013

VAERS ID: 25751 Before After
VAERS Form:
Age:63.0
Sex:Female
Location:Arizona
Vaccinated:0000-00-00
Onset:1989-11-15
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash

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: Hydroxizine, ASA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8902657.01

Write-up: Increasing, severe, generalized dermatitis of 2 wks duration. 1-2 days before onset received flu shot (Connaught) and Pnu-Imune.


Changed on 5/14/2017

VAERS ID: 25751 Before After
VAERS Form:
Age:63.0
Sex:Female
Location:Arizona
Vaccinated:0000-00-00
Onset:1989-11-15
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash

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: Hydroxizine, ASA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8902657.01

Write-up: Increasing, severe, generalized dermatitis of 2 wks duration. 1-2 days before onset received flu shot (Connaught) and Pnu-Imune.


Changed on 9/14/2017

VAERS ID: 25751 Before After
VAERS Form:(blank) 1
Age:63.0
Sex:Female
Location:Arizona
Vaccinated:0000-00-00
Onset:1989-11-15
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / - UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash

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: Hydroxizine, ASA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8902657.01

Write-up: Increasing, severe, generalized dermatitis of 2 wks duration. 1-2 days before onset received flu shot (Connaught) and Pnu-Imune.


Changed on 2/14/2018

VAERS ID: 25751 Before After
VAERS Form:1
Age:63.0
Sex:Female
Location:Arizona
Vaccinated:0000-00-00
Onset:1989-11-15
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash

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: Hydroxizine, ASA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8902657.01

Write-up: Increasing, severe, generalized dermatitis of 2 wks duration. 1-2 days before onset received flu shot (Connaught) and Pnu-Imune.


Changed on 6/14/2018

VAERS ID: 25751 Before After
VAERS Form:1
Age:63.0
Sex:Female
Location:Arizona
Vaccinated:0000-00-00
Onset:1989-11-15
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash

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: Hydroxizine, ASA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8902657.01

Write-up: Increasing, severe, generalized dermatitis of 2 wks duration. 1-2 days before onset received flu shot (Connaught) and Pnu-Imune.


Changed on 8/14/2018

VAERS ID: 25751 Before After
VAERS Form:1
Age:63.0
Sex:Female
Location:Arizona
Vaccinated:0000-00-00
Onset:1989-11-15
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash

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: Hydroxizine, ASA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8902657.01

Write-up: Increasing, severe, generalized dermatitis of 2 wks duration. 1-2 days before onset received flu shot (Connaught) and Pnu-Imune.


Changed on 9/14/2018

VAERS ID: 25751 Before After
VAERS Form:1
Age:63.0
Sex:Female
Location:Arizona
Vaccinated:0000-00-00
Onset:1989-11-15
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash

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: Hydroxizine, ASA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8902657.01

Write-up: Increasing, severe, generalized dermatitis of 2 wks duration. 1-2 days before onset received flu shot (Connaught) and Pnu-Imune.


Changed on 10/14/2018

VAERS ID: 25751 Before After
VAERS Form:1
Age:63.0
Sex:Female
Location:Arizona
Vaccinated:0000-00-00
Onset:1989-11-15
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash

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: Hydroxizine, ASA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8902657.01

Write-up: Increasing, severe, generalized dermatitis of 2 wks duration. 1-2 days before onset received flu shot (Connaught) and Pnu-Imune.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25751&WAYBACKHISTORY=ON


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