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This is VAERS ID 26490

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26490
VAERS Form:
Age:36.6
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B / WYETH - / - RA / IM
PPV: PNU-IMUNE(R)23 / LEDERLE - / 0 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: INJECT SITE REACT, PHARYNGITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.


Changed on 12/8/2009

VAERS ID: 26490 Before After
VAERS Form:
Age:36.6
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-12 1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1989-1990 TRIVALENT TYPES A&B INFLUENZA (SEASONAL) (NO BRAND NAME, 89-90) / WYETH WYETH PHARMACEUTICALS, INC - / - RA / IM
PPV: PNU-IMUNE(R)23 PNEUMO (PNU-IMUNE) / LEDERLE LEDERLE LABORATORIES - / 0 LA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injection site reaction, Pharyngitis, INJECT SITE REACT, PHARYNGITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.


Changed on 8/31/2010

VAERS ID: 26490 Before After
VAERS Form:
Age:36.6
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 89-90) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - RA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES - / 0 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site reaction, Pharyngitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.


Changed on 7/7/2013

VAERS ID: 26490 Before After
VAERS Form:
Age:36.6
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - RA / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - RA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES - / 0 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site reaction, Pharyngitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.


Changed on 12/14/2016

VAERS ID: 26490 Before After
VAERS Form:
Age:36.6
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - RA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES - / 0 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site reaction, Pharyngitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.


Changed on 2/14/2017

VAERS ID: 26490 Before After
VAERS Form:
Age:36.6 36.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - RA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES - / 0 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site reaction, Pharyngitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.


Changed on 5/14/2017

VAERS ID: 26490 Before After
VAERS Form:
Age:36.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - RA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH - / 0 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site reaction, Pharyngitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.


Changed on 9/14/2017

VAERS ID: 26490 Before After
VAERS Form:(blank) 1
Age:36.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - UNK RA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / 0 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site reaction, Pharyngitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.


Changed on 2/14/2018

VAERS ID: 26490 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK RA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site reaction, Pharyngitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.


Changed on 6/14/2018

VAERS ID: 26490 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK RA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site reaction, Pharyngitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.


Changed on 8/14/2018

VAERS ID: 26490 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK RA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site reaction, Pharyngitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.


Changed on 9/14/2018

VAERS ID: 26490 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK RA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site reaction, Pharyngitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.


Changed on 10/14/2018

VAERS ID: 26490 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-10-23
Onset:1990-10-23
Submitted:1990-10-24
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK RA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site reaction, Pharyngitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Pepcid; Lo-ovral
Current Illness:
Preexisting Conditions: Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.

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