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This is VAERS ID 26398

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26398
VAERS Form:
Age:54.1
Sex:Male
Location:Louisiana
Vaccinated:1990-10-13
Onset:1990-10-13
Submitted:1990-10-22
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -
TYP: UNK. TYPHOID / UNCLASSIFIED - / - - / -

Administered by: Military      Purchased by: Unknown
Symptoms: FEVER, NAUSEA, VOMIT, ARTHRALGIA, MYALGIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC 'Split Type':

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.


Changed on 12/8/2009

VAERS ID: 26398 Before After
VAERS Form:
Age:54.1
Sex:Male
Location:Louisiana
Vaccinated:1990-10-13
Onset:1990-10-13
Submitted:1990-10-22
Entered:1990-11-05 1990-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -
TYP: UNK. TYPHOID TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Military      Purchased by: Unknown Military
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting, FEVER, NAUSEA, VOMIT, ARTHRALGIA, MYALGIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC 'Split Type':

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.


Changed on 7/7/2013

VAERS ID: 26398 Before After
VAERS Form:
Age:54.1
Sex:Male
Location:Louisiana
Vaccinated:1990-10-13
Onset:1990-10-13
Submitted:1990-10-22
Entered:1990-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Military      Purchased by: Military
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC 'Split Type':

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.


Changed on 12/14/2016

VAERS ID: 26398 Before After
VAERS Form:
Age:54.1
Sex:Male
Location:Louisiana
Vaccinated:1990-10-13
Onset:1990-10-13
Submitted:1990-10-22
Entered:1990-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Military      Purchased by: Military
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC 'Split Type':

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.


Changed on 2/14/2017

VAERS ID: 26398 Before After
VAERS Form:
Age:54.1 54.0
Sex:Male
Location:Louisiana
Vaccinated:1990-10-13
Onset:1990-10-13
Submitted:1990-10-22
Entered:1990-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Military      Purchased by: Military
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC 'Split Type':

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.


Changed on 5/14/2017

VAERS ID: 26398 Before After
VAERS Form:
Age:54.0
Sex:Male
Location:Louisiana
Vaccinated:1990-10-13
Onset:1990-10-13
Submitted:1990-10-22
Entered:1990-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Military      Purchased by: Military
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC 'Split Type':

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.


Changed on 9/14/2017

VAERS ID: 26398 Before After
VAERS Form:(blank) 1
Age:54.0
Sex:Male
Location:Louisiana
Vaccinated:1990-10-13
Onset:1990-10-13
Submitted:1990-10-22
Entered:1990-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC 'Split Type':

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.


Changed on 2/14/2018

VAERS ID: 26398 Before After
VAERS Form:1
Age:54.0
Sex:Male
Location:Louisiana
Vaccinated:1990-10-13
Onset:1990-10-13
Submitted:1990-10-22
Entered:1990-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC 'Split Type':

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.


Changed on 6/14/2018

VAERS ID: 26398 Before After
VAERS Form:1
Age:54.0
Sex:Male
Location:Louisiana
Vaccinated:1990-10-13
Onset:1990-10-13
Submitted:1990-10-22
Entered:1990-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC 'Split Type':

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.


Changed on 8/14/2018

VAERS ID: 26398 Before After
VAERS Form:1
Age:54.0
Sex:Male
Location:Louisiana
Vaccinated:1990-10-13
Onset:1990-10-13
Submitted:1990-10-22
Entered:1990-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC 'Split Type':

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.


Changed on 9/14/2018

VAERS ID: 26398 Before After
VAERS Form:1
Age:54.0
Sex:Male
Location:Louisiana
Vaccinated:1990-10-13
Onset:1990-10-13
Submitted:1990-10-22
Entered:1990-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC 'Split Type':

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.


Changed on 10/14/2018

VAERS ID: 26398 Before After
VAERS Form:1
Age:54.0
Sex:Male
Location:Louisiana
Vaccinated:1990-10-13
Onset:1990-10-13
Submitted:1990-10-22
Entered:1990-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC 'Split Type':

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.

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