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This is VAERS ID 26672

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26672
VAERS Form:
Age:39.7
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908180 / 1 RA / IM

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

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


Changed on 12/8/2009

VAERS ID: 26672 Before After
VAERS Form:
Age:39.7
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
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 4908180 / 1 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injection site abscess, Injection site reaction, INJECT SITE REACT, ABSCESS INJECT SITE

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


Changed on 8/31/2010

VAERS ID: 26672 Before After
VAERS Form:
Age:39.7
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
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 4908180 / 1 RA / IM

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

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


Changed on 7/7/2013

VAERS ID: 26672 Before After
VAERS Form:
Age:39.7
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 1 RA / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 1 RA / IM

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

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


Changed on 12/14/2016

VAERS ID: 26672 Before After
VAERS Form:
Age:39.7
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 1 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 1 RA / IM

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

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


Changed on 2/14/2017

VAERS ID: 26672 Before After
VAERS Form:
Age:39.7 39.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 1 RA / IM

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

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


Changed on 5/14/2017

VAERS ID: 26672 Before After
VAERS Form:
Age:39.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 1 RA / IM

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

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


Changed on 9/14/2017

VAERS ID: 26672 Before After
VAERS Form:(blank) 1
Age:39.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 1 2 RA / IM

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

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


Changed on 2/14/2018

VAERS ID: 26672 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 2 RA / IM

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

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


Changed on 6/14/2018

VAERS ID: 26672 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 2 RA / IM

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

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


Changed on 8/14/2018

VAERS ID: 26672 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 2 RA / IM

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

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


Changed on 9/14/2018

VAERS ID: 26672 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 2 RA / IM

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

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


Changed on 10/14/2018

VAERS ID: 26672 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New Jersey
Vaccinated:1990-10-08
Onset:1990-10-08
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 2 RA / IM

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

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: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26672&WAYBACKHISTORY=ON


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