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This is VAERS ID 26708

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26708
VAERS Form:
Age:44.9
Sex:Male
Location:New York
Vaccinated:1990-11-07
Onset:1990-11-07
Submitted:1990-11-08
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: CHILLS, FEVER, SWEAT, RHINITIS, COUGH INC

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 pt at 38yo flu.
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.


Changed on 12/8/2009

VAERS ID: 26708 Before After
VAERS Form:
Age:44.9
Sex:Male
Location:New York
Vaccinated:1990-11-07
Onset:1990-11-07
Submitted:1990-11-08
Entered:1990-11-27 1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Unknown Public
Symptoms: Chills, Cough, Hyperhidrosis, Pyrexia, Rhinitis, CHILLS, FEVER, SWEAT, RHINITIS, COUGH INC

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 pt at 38yo flu.
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.


Changed on 7/7/2013

VAERS ID: 26708 Before After
VAERS Form:
Age:44.9
Sex:Male
Location:New York
Vaccinated:1990-11-07
Onset:1990-11-07
Submitted:1990-11-08
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Public
Symptoms: Chills, Cough, Hyperhidrosis, Pyrexia, Rhinitis

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 pt at 38yo flu.
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.


Changed on 12/14/2016

VAERS ID: 26708 Before After
VAERS Form:
Age:44.9
Sex:Male
Location:New York
Vaccinated:1990-11-07
Onset:1990-11-07
Submitted:1990-11-08
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Public
Symptoms: Chills, Cough, Hyperhidrosis, Pyrexia, Rhinitis

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 pt at 38yo flu.
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.


Changed on 2/14/2017

VAERS ID: 26708 Before After
VAERS Form:
Age:44.9 44.0
Sex:Male
Location:New York
Vaccinated:1990-11-07
Onset:1990-11-07
Submitted:1990-11-08
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Public
Symptoms: Chills, Cough, Hyperhidrosis, Pyrexia, Rhinitis

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 pt at 38yo flu.
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.


Changed on 5/14/2017

VAERS ID: 26708 Before After
VAERS Form:
Age:44.0
Sex:Male
Location:New York
Vaccinated:1990-11-07
Onset:1990-11-07
Submitted:1990-11-08
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Public
Symptoms: Chills, Cough, Hyperhidrosis, Pyrexia, Rhinitis

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 pt at 38yo flu. flu.~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.


Changed on 9/14/2017

VAERS ID: 26708 Before After
VAERS Form:(blank) 1
Age:44.0
Sex:Male
Location:New York
Vaccinated:1990-11-07
Onset:1990-11-07
Submitted:1990-11-08
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Private      Purchased by: Public
Symptoms: Chills, Cough, Hyperhidrosis, Pyrexia, Rhinitis

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 pt at 38yo flu.~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.


Changed on 2/14/2018

VAERS ID: 26708 Before After
VAERS Form:1
Age:44.0
Sex:Male
Location:New York
Vaccinated:1990-11-07
Onset:1990-11-07
Submitted:1990-11-08
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Public
Symptoms: Chills, Cough, Hyperhidrosis, Pyrexia, Rhinitis

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 pt at 38yo flu.~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.


Changed on 6/14/2018

VAERS ID: 26708 Before After
VAERS Form:1
Age:44.0
Sex:Male
Location:New York
Vaccinated:1990-11-07
Onset:1990-11-07
Submitted:1990-11-08
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Public
Symptoms: Chills, Cough, Hyperhidrosis, Pyrexia, Rhinitis

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 pt at 38yo flu.~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.


Changed on 8/14/2018

VAERS ID: 26708 Before After
VAERS Form:1
Age:44.0
Sex:Male
Location:New York
Vaccinated:1990-11-07
Onset:1990-11-07
Submitted:1990-11-08
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Public
Symptoms: Chills, Cough, Hyperhidrosis, Pyrexia, Rhinitis

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 pt at 38yo flu.~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.


Changed on 9/14/2018

VAERS ID: 26708 Before After
VAERS Form:1
Age:44.0
Sex:Male
Location:New York
Vaccinated:1990-11-07
Onset:1990-11-07
Submitted:1990-11-08
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Public
Symptoms: Chills, Cough, Hyperhidrosis, Pyrexia, Rhinitis

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 pt at 38yo flu.~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.


Changed on 10/14/2018

VAERS ID: 26708 Before After
VAERS Form:1
Age:44.0
Sex:Male
Location:New York
Vaccinated:1990-11-07
Onset:1990-11-07
Submitted:1990-11-08
Entered:1990-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Public
Symptoms: Chills, Cough, Hyperhidrosis, Pyrexia, Rhinitis

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 pt at 38yo flu.~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.

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