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This is VAERS ID 26051

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26051
VAERS Form:
Age:
Sex:Unknown
Location:New York
Vaccinated:1989-11-06
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -
PPV: PNEUMOVAX 23 / MSD - / - - / -

Administered by: ??      Purchased by: Unknown
Symptoms: CHILLS, INJECT SITE REACT, FEVER

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 vaccinated with Pneumovax 23/Influenza developed pain, swelling & erythema at injection site; chills & fever.


Changed on 12/8/2009

VAERS ID: 26051 Before After
VAERS Form:
Age:
Sex:Unknown
Location:New York
Vaccinated:1989-11-06
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-12-10 1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -
PPV: PNEUMOVAX 23 PNEUMO (PNEUMOVAX) / MSD MERCK & CO. INC. - / - - / -

Administered by: ??      Purchased by: Unknown (blank)
Symptoms: Chills, Injection site reaction, Pyrexia, CHILLS, INJECT SITE REACT, FEVER

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) WAES89111083

Write-up: Pt vaccinated with Pneumovax 23/Influenza developed pain, swelling & erythema at injection site; chills & fever.


Changed on 7/7/2013

VAERS ID: 26051 Before After
VAERS Form:
Age:
Sex:Unknown
Location:New York
Vaccinated:1989-11-06
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - - / -

Administered by: ??      Purchased by: ??
Symptoms: Chills, Injection site reaction, Pyrexia

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': WAES89111083

Write-up: Pt vaccinated with Pneumovax 23/Influenza developed pain, swelling & erythema at injection site; chills & fever.


Changed on 12/14/2016

VAERS ID: 26051 Before After
VAERS Form:
Age:
Sex:Unknown
Location:New York
Vaccinated:1989-11-06
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - - / -

Administered by: ??      Purchased by: ??
Symptoms: Chills, Injection site reaction, Pyrexia

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': WAES89111083

Write-up: Pt vaccinated with Pneumovax 23/Influenza developed pain, swelling & erythema at injection site; chills & fever.


Changed on 5/14/2017

VAERS ID: 26051 Before After
VAERS Form:
Age:
Sex:Unknown
Location:New York
Vaccinated:1989-11-06
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - - / -

Administered by: (blank) Unknown      Purchased by: (blank) Unknown
Symptoms: Chills, Injection site reaction, Pyrexia

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': WAES89111083

Write-up: Pt vaccinated with Pneumovax 23/Influenza developed pain, swelling & erythema at injection site; chills & fever.


Changed on 9/14/2017

VAERS ID: 26051 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:New York
Vaccinated:1989-11-06
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Injection site reaction, Pyrexia

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': WAES89111083

Write-up: Pt vaccinated with Pneumovax 23/Influenza developed pain, swelling & erythema at injection site; chills & fever.


Changed on 2/14/2018

VAERS ID: 26051 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1989-11-06
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Injection site reaction, Pyrexia

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': WAES89111083

Write-up: Pt vaccinated with Pneumovax 23/Influenza developed pain, swelling & erythema at injection site; chills & fever.


Changed on 6/14/2018

VAERS ID: 26051 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1989-11-06
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Injection site reaction, Pyrexia

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': WAES89111083

Write-up: Pt vaccinated with Pneumovax 23/Influenza developed pain, swelling & erythema at injection site; chills & fever.


Changed on 8/14/2018

VAERS ID: 26051 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1989-11-06
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Injection site reaction, Pyrexia

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': WAES89111083

Write-up: Pt vaccinated with Pneumovax 23/Influenza developed pain, swelling & erythema at injection site; chills & fever.


Changed on 9/14/2018

VAERS ID: 26051 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1989-11-06
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Injection site reaction, Pyrexia

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': WAES89111083

Write-up: Pt vaccinated with Pneumovax 23/Influenza developed pain, swelling & erythema at injection site; chills & fever.


Changed on 10/14/2018

VAERS ID: 26051 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1989-11-06
Onset:1989-11-07
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Injection site reaction, Pyrexia

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': WAES89111083

Write-up: Pt vaccinated with Pneumovax 23/Influenza developed pain, swelling & erythema at injection site; chills & fever.

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