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This is VAERS ID 26670

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26670
VAERS Form:
Age:56.0
Sex:Female
Location:Texas
Vaccinated:1990-11-01
Onset:1990-11-02
Submitted:1990-11-06
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908196 / 1 LA / -

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

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 Pt swelling FLU-DTP
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.


Changed on 12/8/2009

VAERS ID: 26670 Before After
VAERS Form:
Age:56.0
Sex:Female
Location:Texas
Vaccinated:1990-11-01
Onset:1990-11-02
Submitted:1990-11-06
Entered:1990-11-21 1990-11-16
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 4908196 / 1 LA / -

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site reaction, INJECT SITE REACT

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 Pt swelling FLU-DTP FLU-DTP~~~0~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.


Changed on 8/31/2010

VAERS ID: 26670 Before After
VAERS Form:
Age:56.0
Sex:Female
Location:Texas
Vaccinated:1990-11-01
Onset:1990-11-02
Submitted:1990-11-06
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908196 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site reaction

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 Pt swelling FLU-DTP~~~0~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.


Changed on 7/7/2013

VAERS ID: 26670 Before After
VAERS Form:
Age:56.0
Sex:Female
Location:Texas
Vaccinated:1990-11-01
Onset:1990-11-02
Submitted:1990-11-06
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908196 / 1 LA / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908196 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site reaction

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 Pt swelling FLU-DTP~~~0~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.


Changed on 12/14/2016

VAERS ID: 26670 Before After
VAERS Form:
Age:56.0
Sex:Female
Location:Texas
Vaccinated:1990-11-01
Onset:1990-11-02
Submitted:1990-11-06
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908196 / 1 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908196 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site reaction

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 Pt swelling FLU-DTP~~~0~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.


Changed on 5/14/2017

VAERS ID: 26670 Before After
VAERS Form:
Age:56.0
Sex:Female
Location:Texas
Vaccinated:1990-11-01
Onset:1990-11-02
Submitted:1990-11-06
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908196 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site reaction

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 Pt swelling FLU-DTP~~~0~In FLU-DTP~ ()~~0.00~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.


Changed on 9/14/2017

VAERS ID: 26670 Before After
VAERS Form:(blank) 1
Age:56.0
Sex:Female
Location:Texas
Vaccinated:1990-11-01
Onset:1990-11-02
Submitted:1990-11-06
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908196 / 1 2 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site reaction

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 Pt swelling FLU-DTP~ ()~~0.00~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.


Changed on 2/14/2018

VAERS ID: 26670 Before After
VAERS Form:1
Age:56.0
Sex:Female
Location:Texas
Vaccinated:1990-11-01
Onset:1990-11-02
Submitted:1990-11-06
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908196 / 2 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site reaction

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 Pt swelling FLU-DTP~ ()~~0.00~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.


Changed on 6/14/2018

VAERS ID: 26670 Before After
VAERS Form:1
Age:56.0
Sex:Female
Location:Texas
Vaccinated:1990-11-01
Onset:1990-11-02
Submitted:1990-11-06
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908196 / 2 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site reaction

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 Pt swelling FLU-DTP~ ()~~0.00~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.


Changed on 8/14/2018

VAERS ID: 26670 Before After
VAERS Form:1
Age:56.0
Sex:Female
Location:Texas
Vaccinated:1990-11-01
Onset:1990-11-02
Submitted:1990-11-06
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908196 / 2 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site reaction

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 Pt swelling FLU-DTP~ ()~~0.00~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.


Changed on 9/14/2018

VAERS ID: 26670 Before After
VAERS Form:1
Age:56.0
Sex:Female
Location:Texas
Vaccinated:1990-11-01
Onset:1990-11-02
Submitted:1990-11-06
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908196 / 2 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site reaction

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 Pt swelling FLU-DTP~ ()~~0.00~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.


Changed on 10/14/2018

VAERS ID: 26670 Before After
VAERS Form:1
Age:56.0
Sex:Female
Location:Texas
Vaccinated:1990-11-01
Onset:1990-11-02
Submitted:1990-11-06
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908196 / 2 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site reaction

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 Pt swelling FLU-DTP~ ()~~0.00~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.

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