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This is VAERS ID 26600

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26600
VAERS Form:
Age:42.0
Sex:Male
Location:Texas
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:0000-00-00
Entered:1990-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: URTICARIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.


Changed on 12/8/2009

VAERS ID: 26600 Before After
VAERS Form:
Age:42.0
Sex:Male
Location:Texas
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:0000-00-00
Entered:1990-11-13 1990-11-08
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 - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria, URTICARIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.


Changed on 8/31/2010

VAERS ID: 26600 Before After
VAERS Form:
Age:42.0
Sex:Male
Location:Texas
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.


Changed on 7/7/2013

VAERS ID: 26600 Before After
VAERS Form:
Age:42.0
Sex:Male
Location:Texas
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.


Changed on 12/14/2016

VAERS ID: 26600 Before After
VAERS Form:
Age:42.0
Sex:Male
Location:Texas
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.


Changed on 5/14/2017

VAERS ID: 26600 Before After
VAERS Form:
Age:42.0
Sex:Male
Location:Texas
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.


Changed on 9/14/2017

VAERS ID: 26600 Before After
VAERS Form:(blank) 1
Age:42.0
Sex:Male
Location:Texas
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.


Changed on 2/14/2018

VAERS ID: 26600 Before After
VAERS Form:1
Age:42.0
Sex:Male
Location:Texas
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.


Changed on 6/14/2018

VAERS ID: 26600 Before After
VAERS Form:1
Age:42.0
Sex:Male
Location:Texas
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.


Changed on 8/14/2018

VAERS ID: 26600 Before After
VAERS Form:1
Age:42.0
Sex:Male
Location:Texas
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.


Changed on 9/14/2018

VAERS ID: 26600 Before After
VAERS Form:1
Age:42.0
Sex:Male
Location:Texas
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.


Changed on 10/14/2018

VAERS ID: 26600 Before After
VAERS Form:1
Age:42.0
Sex:Male
Location:Texas
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:0000-00-00
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: ~ ()~~~In patient
Other Medications: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.

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