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This is VAERS ID 26248

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26248
VAERS Form:
Age:86.5
Sex:Male
Location:Michigan
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-11
Entered:1990-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS 0F11210 / - A / IM

Administered by: Private      Purchased by: Unknown
Symptoms: DIZZINESS, HEADACHE, RHINITIS, MYALGIA, PAIN EAR

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: Cordizem; Seldane
Current Illness: SLight Sinus Drainage
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.


Changed on 12/8/2009

VAERS ID: 26248 Before After
VAERS Form:
Age:86.5
Sex:Male
Location:Michigan
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-11
Entered:1990-10-17 1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 INFLUENZA (SEASONAL) (FLUZONE 89-90) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0F11210 / - A / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Dizziness, Ear pain, Headache, Myalgia, Rhinitis, DIZZINESS, HEADACHE, RHINITIS, MYALGIA, PAIN EAR

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: Cordizem; Seldane
Current Illness: SLight Sinus Drainage
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.


Changed on 8/31/2010

VAERS ID: 26248 Before After
VAERS Form:
Age:86.5
Sex:Male
Location:Michigan
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-11
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 89-90) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11210 / - A / IM

Administered by: Private      Purchased by: Public
Symptoms: Dizziness, Ear pain, Headache, Myalgia, Rhinitis

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: Cordizem; Seldane
Current Illness: SLight Sinus Drainage
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.


Changed on 7/7/2013

VAERS ID: 26248 Before After
VAERS Form:
Age:86.5
Sex:Male
Location:Michigan
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-11
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11210 / - A / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11210 / - A / IM

Administered by: Private      Purchased by: Public
Symptoms: Dizziness, Ear pain, Headache, Myalgia, Rhinitis

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: Cordizem; Seldane
Current Illness: SLight Sinus Drainage
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.


Changed on 2/14/2017

VAERS ID: 26248 Before After
VAERS Form:
Age:86.5 86.0
Sex:Male
Location:Michigan
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-11
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11210 / - A / IM

Administered by: Private      Purchased by: Public
Symptoms: Dizziness, Ear pain, Headache, Myalgia, Rhinitis

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: Cordizem; Seldane
Current Illness: SLight Sinus Drainage
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.


Changed on 5/14/2017

VAERS ID: 26248 Before After
VAERS Form:
Age:86.0
Sex:Male
Location:Michigan
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-11
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11210 / - A - / IM IM A

Administered by: Private      Purchased by: Public
Symptoms: Dizziness, Ear pain, Headache, Myalgia, Rhinitis

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: Cordizem; Seldane
Current Illness: SLight Sinus Drainage
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.


Changed on 9/14/2017

VAERS ID: 26248 Before After
VAERS Form:(blank) 1
Age:86.0
Sex:Male
Location:Michigan
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-11
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11210 / - UNK - / IM A

Administered by: Private      Purchased by: Public
Symptoms: Dizziness, Ear pain, Headache, Myalgia, Rhinitis

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: Cordizem; Seldane
Current Illness: SLight Sinus Drainage
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.


Changed on 2/14/2018

VAERS ID: 26248 Before After
VAERS Form:1
Age:86.0
Sex:Male
Location:Michigan
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-11
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11210 / UNK - / IM A

Administered by: Private      Purchased by: Public
Symptoms: Dizziness, Ear pain, Headache, Myalgia, Rhinitis

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: Cordizem; Seldane
Current Illness: SLight Sinus Drainage
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.


Changed on 6/14/2018

VAERS ID: 26248 Before After
VAERS Form:1
Age:86.0
Sex:Male
Location:Michigan
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-11
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11210 / UNK - / IM A

Administered by: Private      Purchased by: Public
Symptoms: Dizziness, Ear pain, Headache, Myalgia, Rhinitis

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: Cordizem; Seldane
Current Illness: SLight Sinus Drainage
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.


Changed on 8/14/2018

VAERS ID: 26248 Before After
VAERS Form:1
Age:86.0
Sex:Male
Location:Michigan
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-11
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11210 / UNK - / IM A

Administered by: Private      Purchased by: Public
Symptoms: Dizziness, Ear pain, Headache, Myalgia, Rhinitis

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: Cordizem; Seldane
Current Illness: SLight Sinus Drainage
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.


Changed on 9/14/2018

VAERS ID: 26248 Before After
VAERS Form:1
Age:86.0
Sex:Male
Location:Michigan
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-11
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11210 / UNK - / IM A

Administered by: Private      Purchased by: Public
Symptoms: Dizziness, Ear pain, Headache, Myalgia, Rhinitis

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: Cordizem; Seldane
Current Illness: SLight Sinus Drainage
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.


Changed on 10/14/2018

VAERS ID: 26248 Before After
VAERS Form:1
Age:86.0
Sex:Male
Location:Michigan
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-11
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11210 / UNK - / IM A

Administered by: Private      Purchased by: Public
Symptoms: Dizziness, Ear pain, Headache, Myalgia, Rhinitis

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: Cordizem; Seldane
Current Illness: SLight Sinus Drainage
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.

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