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This is VAERS ID 26720

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26720
VAERS Form:
Age:70.6
Sex:Female
Location:Arizona
Vaccinated:1990-10-11
Onset:1990-10-11
Submitted:1990-11-16
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11208 / - LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.


Changed on 12/8/2009

VAERS ID: 26720 Before After
VAERS Form:
Age:70.6
Sex:Female
Location:Arizona
Vaccinated:1990-10-11
Onset:1990-10-11
Submitted:1990-11-16
Entered:1990-11-27 1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0F11208 / - LA / IM

Administered by: Other      Purchased by: Unknown Public
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? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) AZ9001

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.


Changed on 8/31/2010

VAERS ID: 26720 Before After
VAERS Form:
Age:70.6
Sex:Female
Location:Arizona
Vaccinated:1990-10-11
Onset:1990-10-11
Submitted:1990-11-16
Entered:1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / - LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Injection site abscess, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AZ9001

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.


Changed on 7/7/2013

VAERS ID: 26720 Before After
VAERS Form:
Age:70.6
Sex:Female
Location:Arizona
Vaccinated:1990-10-11
Onset:1990-10-11
Submitted:1990-11-16
Entered:1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / - LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / - LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Injection site abscess, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AZ9001

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.


Changed on 2/14/2017

VAERS ID: 26720 Before After
VAERS Form:
Age:70.6 70.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-11
Onset:1990-10-11
Submitted:1990-11-16
Entered:1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / - LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Injection site abscess, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AZ9001

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.


Changed on 5/14/2017

VAERS ID: 26720 Before After
VAERS Form:
Age:70.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-11
Onset:1990-10-11
Submitted:1990-11-16
Entered:1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / - LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Injection site abscess, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AZ9001

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.


Changed on 9/14/2017

VAERS ID: 26720 Before After
VAERS Form:(blank) 1
Age:70.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-11
Onset:1990-10-11
Submitted:1990-11-16
Entered:1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / - UNK LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Injection site abscess, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AZ9001

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.


Changed on 2/14/2018

VAERS ID: 26720 Before After
VAERS Form:1
Age:70.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-11
Onset:1990-10-11
Submitted:1990-11-16
Entered:1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Injection site abscess, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AZ9001

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.


Changed on 6/14/2018

VAERS ID: 26720 Before After
VAERS Form:1
Age:70.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-11
Onset:1990-10-11
Submitted:1990-11-16
Entered:1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Injection site abscess, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AZ9001

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.


Changed on 8/14/2018

VAERS ID: 26720 Before After
VAERS Form:1
Age:70.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-11
Onset:1990-10-11
Submitted:1990-11-16
Entered:1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Injection site abscess, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AZ9001

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.


Changed on 9/14/2018

VAERS ID: 26720 Before After
VAERS Form:1
Age:70.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-11
Onset:1990-10-11
Submitted:1990-11-16
Entered:1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Injection site abscess, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AZ9001

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.


Changed on 10/14/2018

VAERS ID: 26720 Before After
VAERS Form:1
Age:70.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-11
Onset:1990-10-11
Submitted:1990-11-16
Entered:1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Injection site abscess, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AZ9001

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26720&WAYBACKHISTORY=ON


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