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This is VAERS ID 26497

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26497
VAERS Form:
Age:53.4
Sex:Female
Location:Florida
Vaccinated:1990-10-25
Onset:1990-10-25
Submitted:1990-10-29
Entered:1990-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1989-1990 / PARKE-DAVIS 01670P / 0 RA / IM
PPV: PNU-IMUNE(R)23 / LEDERLE 226928 / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, NAUSEA, VOMIT

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.


Changed on 12/8/2009

VAERS ID: 26497 Before After
VAERS Form:
Age:53.4
Sex:Female
Location:Florida
Vaccinated:1990-10-25
Onset:1990-10-25
Submitted:1990-10-29
Entered:1990-11-12 1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1989-1990 INFLUENZA (SEASONAL) (FLUOGEN 89-90) / PARKE-DAVIS 01670P / 0 RA / IM
PPV: PNU-IMUNE(R)23 PNEUMO (PNU-IMUNE) / LEDERLE LEDERLE LABORATORIES 226928 / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Nausea, Pyrexia, Vomiting, FEVER, NAUSEA, VOMIT

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.


Changed on 8/31/2010

VAERS ID: 26497 Before After
VAERS Form:
Age:53.4
Sex:Female
Location:Florida
Vaccinated:1990-10-25
Onset:1990-10-25
Submitted:1990-10-29
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 89-90) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01670P / 0 RA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 226928 / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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)? 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 Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.


Changed on 7/7/2013

VAERS ID: 26497 Before After
VAERS Form:
Age:53.4
Sex:Female
Location:Florida
Vaccinated:1990-10-25
Onset:1990-10-25
Submitted:1990-10-29
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01670P / 0 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01670P / 0 RA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 226928 / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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)? 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 Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.


Changed on 2/14/2017

VAERS ID: 26497 Before After
VAERS Form:
Age:53.4 53.0
Sex:Female
Location:Florida
Vaccinated:1990-10-25
Onset:1990-10-25
Submitted:1990-10-29
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01670P / 0 RA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 226928 / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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)? 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 Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.


Changed on 5/14/2017

VAERS ID: 26497 Before After
VAERS Form:
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1990-10-25
Onset:1990-10-25
Submitted:1990-10-29
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01670P / 0 RA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 226928 / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.


Changed on 9/14/2017

VAERS ID: 26497 Before After
VAERS Form:(blank) 1
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1990-10-25
Onset:1990-10-25
Submitted:1990-10-29
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01670P / 0 1 RA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 226928 / 0 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.


Changed on 2/14/2018

VAERS ID: 26497 Before After
VAERS Form:1
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1990-10-25
Onset:1990-10-25
Submitted:1990-10-29
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01670P / 1 RA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 226928 / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.


Changed on 6/14/2018

VAERS ID: 26497 Before After
VAERS Form:1
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1990-10-25
Onset:1990-10-25
Submitted:1990-10-29
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01670P / 1 RA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 226928 / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.


Changed on 8/14/2018

VAERS ID: 26497 Before After
VAERS Form:1
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1990-10-25
Onset:1990-10-25
Submitted:1990-10-29
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01670P / 1 RA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 226928 / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.


Changed on 9/14/2018

VAERS ID: 26497 Before After
VAERS Form:1
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1990-10-25
Onset:1990-10-25
Submitted:1990-10-29
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01670P / 1 RA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 226928 / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.


Changed on 10/14/2018

VAERS ID: 26497 Before After
VAERS Form:1
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1990-10-25
Onset:1990-10-25
Submitted:1990-10-29
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01670P / 1 RA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 226928 / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26497&WAYBACKHISTORY=ON


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