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This is VAERS ID 26808

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26808
VAERS Form:
Age:37.7
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908188 / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: HEADACHE, NECK RIGID

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.


Changed on 12/8/2009

VAERS ID: 26808 Before After
VAERS Form:
Age:37.7
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-12-03 1990-11-27
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 4908188 / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Headache, Nuchal rigidity, HEADACHE, NECK RIGID

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.


Changed on 8/31/2010

VAERS ID: 26808 Before After
VAERS Form:
Age:37.7
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908188 / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.


Changed on 7/7/2013

VAERS ID: 26808 Before After
VAERS Form:
Age:37.7
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 0 LA / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.


Changed on 12/14/2016

VAERS ID: 26808 Before After
VAERS Form:
Age:37.7
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 0 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.


Changed on 2/14/2017

VAERS ID: 26808 Before After
VAERS Form:
Age:37.7 37.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.


Changed on 5/14/2017

VAERS ID: 26808 Before After
VAERS Form:
Age:37.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.


Changed on 9/14/2017

VAERS ID: 26808 Before After
VAERS Form:(blank) 1
Age:37.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 0 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.


Changed on 2/14/2018

VAERS ID: 26808 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.


Changed on 6/14/2018

VAERS ID: 26808 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.


Changed on 8/14/2018

VAERS ID: 26808 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.


Changed on 9/14/2018

VAERS ID: 26808 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.


Changed on 10/14/2018

VAERS ID: 26808 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-18
Onset:1990-10-18
Submitted:1990-11-18
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed stiffness in neck, headache.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26808&WAYBACKHISTORY=ON


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