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This is VAERS ID 26597

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26597
VAERS Form:
Age:80.0
Sex:Female
Location:California
Vaccinated:1990-10-01
Onset:1990-09-18
Submitted:0000-00-00
Entered:1990-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1990-1991 LEDERLE / LEDERLE 289967 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: CONVULS, STUPOR, THINKING ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Virus 3-4 days after vaccination, 80 yo woman found unresponsive, hospitalized. Pt had a seizure at home & another during hosp. Treatment included IV fluids. In ICU for 24 hrs dx altered level of consciousness.


Changed on 12/8/2009

VAERS ID: 26597 Before After
VAERS Form:
Age:80.0
Sex:Female
Location:California
Vaccinated:1990-10-01 0000-00-00
Onset:1990-09-18 0000-00-00
Submitted:0000-00-00
Entered:1990-11-13 1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1990-1991 LEDERLE INFLUENZA (SEASONAL) (FLU-IMUNE 90-91) / LEDERLE LEDERLE LABORATORIES 289967 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Stupor, Thinking abnormal, CONVULS, STUPOR, THINKING ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 900180402

Write-up: Pt vaccinated with Influenza Virus 3-4 days after vaccination, 80 yo woman found unresponsive, hospitalized. Pt had a seizure at home & another during hosp. Treatment included IV fluids. In ICU for 24 hrs dx altered level of consciousness.


Changed on 8/31/2010

VAERS ID: 26597 Before After
VAERS Form:
Age:80.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLU-IMUNE 90-91) INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 289967 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Stupor, Thinking abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900180402

Write-up: Pt vaccinated with Influenza Virus 3-4 days after vaccination, 80 yo woman found unresponsive, hospitalized. Pt had a seizure at home & another during hosp. Treatment included IV fluids. In ICU for 24 hrs dx altered level of consciousness.


Changed on 7/7/2013

VAERS ID: 26597 Before After
VAERS Form:
Age:80.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 289967 / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 289967 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Stupor, Thinking abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900180402

Write-up: Pt vaccinated with Influenza Virus 3-4 days after vaccination, 80 yo woman found unresponsive, hospitalized. Pt had a seizure at home & another during hosp. Treatment included IV fluids. In ICU for 24 hrs dx altered level of consciousness.


Changed on 9/14/2017

VAERS ID: 26597 Before After
VAERS Form:(blank) 1
Age:80.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 289967 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Stupor, Thinking abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900180402

Write-up: Pt vaccinated with Influenza Virus 3-4 days after vaccination, 80 yo woman found unresponsive, hospitalized. Pt had a seizure at home & another during hosp. Treatment included IV fluids. In ICU for 24 hrs dx altered level of consciousness.


Changed on 2/14/2018

VAERS ID: 26597 Before After
VAERS Form:1
Age:80.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 289967 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Stupor, Thinking abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900180402

Write-up: Pt vaccinated with Influenza Virus 3-4 days after vaccination, 80 yo woman found unresponsive, hospitalized. Pt had a seizure at home & another during hosp. Treatment included IV fluids. In ICU for 24 hrs dx altered level of consciousness.


Changed on 6/14/2018

VAERS ID: 26597 Before After
VAERS Form:1
Age:80.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 289967 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Stupor, Thinking abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900180402

Write-up: Pt vaccinated with Influenza Virus 3-4 days after vaccination, 80 yo woman found unresponsive, hospitalized. Pt had a seizure at home & another during hosp. Treatment included IV fluids. In ICU for 24 hrs dx altered level of consciousness.


Changed on 8/14/2018

VAERS ID: 26597 Before After
VAERS Form:1
Age:80.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 289967 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Stupor, Thinking abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900180402

Write-up: Pt vaccinated with Influenza Virus 3-4 days after vaccination, 80 yo woman found unresponsive, hospitalized. Pt had a seizure at home & another during hosp. Treatment included IV fluids. In ICU for 24 hrs dx altered level of consciousness.


Changed on 9/14/2018

VAERS ID: 26597 Before After
VAERS Form:1
Age:80.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 289967 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Stupor, Thinking abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900180402

Write-up: Pt vaccinated with Influenza Virus 3-4 days after vaccination, 80 yo woman found unresponsive, hospitalized. Pt had a seizure at home & another during hosp. Treatment included IV fluids. In ICU for 24 hrs dx altered level of consciousness.


Changed on 10/14/2018

VAERS ID: 26597 Before After
VAERS Form:1
Age:80.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 289967 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Stupor, Thinking abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 900180402

Write-up: Pt vaccinated with Influenza Virus 3-4 days after vaccination, 80 yo woman found unresponsive, hospitalized. Pt had a seizure at home & another during hosp. Treatment included IV fluids. In ICU for 24 hrs dx altered level of consciousness.

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