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This is VAERS ID 26457

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26457
VAERS Form:
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908181 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: CHILLS, NAUSEA, MYALGIA, PAIN CHEST, HYPERVENTIL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as ""Panic Attack;"" was hypervent. Released after resp. normal.


Changed on 12/30/2006

VAERS ID: 26457 Before After
VAERS Form:
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908181 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: CHILLS, NAUSEA, MYALGIA, PAIN CHEST, HYPERVENTIL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as ""Panic Attack;"" /"Panic Attack;/" was hypervent. Released after resp. normal.


Changed on 12/8/2009

VAERS ID: 26457 Before After
VAERS Form:
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-07 1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) / WYETH WYETH PHARMACEUTICALS, INC 4908181 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Chills, Hyperhidrosis, Hyperventilation, Myalgia, Nausea, CHILLS, NAUSEA, MYALGIA, PAIN CHEST, HYPERVENTIL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as /"Panic Attack;/" "Panic Attack;" was hypervent. Released after resp. normal.


Changed on 8/31/2010

VAERS ID: 26457 Before After
VAERS Form:
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908181 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Chills, Hyperhidrosis, Hyperventilation, Myalgia, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as "Panic Attack;" was hypervent. Released after resp. normal.


Changed on 7/7/2013

VAERS ID: 26457 Before After
VAERS Form:
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908181 / - - / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908181 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Chills, Hyperhidrosis, Hyperventilation, Myalgia, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as "Panic Attack;" was hypervent. Released after resp. normal.


Changed on 12/14/2016

VAERS ID: 26457 Before After
VAERS Form:
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908181 / - - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908181 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Chills, Hyperhidrosis, Hyperventilation, Myalgia, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as "Panic Attack;" was hypervent. Released after resp. normal.


Changed on 5/14/2017

VAERS ID: 26457 Before After
VAERS Form:
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908181 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Chills, Hyperhidrosis, Hyperventilation, Myalgia, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as "Panic Attack;" was hypervent. Released after resp. normal.


Changed on 9/14/2017

VAERS ID: 26457 Before After
VAERS Form:(blank) 1
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908181 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Chills, Hyperhidrosis, Hyperventilation, Myalgia, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as "Panic Attack;" was hypervent. Released after resp. normal.


Changed on 2/14/2018

VAERS ID: 26457 Before After
VAERS Form:1
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908181 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Chills, Hyperhidrosis, Hyperventilation, Myalgia, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as "Panic Attack;" was hypervent. Released after resp. normal.


Changed on 6/14/2018

VAERS ID: 26457 Before After
VAERS Form:1
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908181 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Chills, Hyperhidrosis, Hyperventilation, Myalgia, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as "Panic Attack;" was hypervent. Released after resp. normal.


Changed on 8/14/2018

VAERS ID: 26457 Before After
VAERS Form:1
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908181 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Chills, Hyperhidrosis, Hyperventilation, Myalgia, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as "Panic Attack;" was hypervent. Released after resp. normal.


Changed on 9/14/2018

VAERS ID: 26457 Before After
VAERS Form:1
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908181 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Chills, Hyperhidrosis, Hyperventilation, Myalgia, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as "Panic Attack;" was hypervent. Released after resp. normal.


Changed on 10/14/2018

VAERS ID: 26457 Before After
VAERS Form:1
Age:46.0
Sex:Female
Location:Washington
Vaccinated:1990-10-15
Onset:1990-10-15
Submitted:0000-00-00
Entered:1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908181 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Chills, Hyperhidrosis, Hyperventilation, Myalgia, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: EKG=WNL
CDC 'Split Type':

Write-up: Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as "Panic Attack;" was hypervent. Released after resp. normal.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26457&WAYBACKHISTORY=ON


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