National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 26819

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26819
VAERS Form:
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908194 / - RA / IM

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:
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3"" diameter & pruritis.


Changed on 12/30/2006

VAERS ID: 26819 Before After
VAERS Form:
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908194 / - RA / IM

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:
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''t wasn''''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3"" 3/" diameter & pruritis.


Changed on 12/8/2009

VAERS ID: 26819 Before After
VAERS Form:
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
Entered:1990-12-04 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 4908194 / - RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: 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:
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''''t wasn''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3/" 3" diameter & pruritis.


Changed on 8/31/2010

VAERS ID: 26819 Before After
VAERS Form:
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
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 4908194 / - RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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:
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3" diameter & pruritis.


Changed on 7/7/2013

VAERS ID: 26819 Before After
VAERS Form:
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908194 / - RA / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908194 / - RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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:
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3" diameter & pruritis.


Changed on 12/14/2016

VAERS ID: 26819 Before After
VAERS Form:
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908194 / - RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908194 / - RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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:
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3" diameter & pruritis.


Changed on 5/14/2017

VAERS ID: 26819 Before After
VAERS Form:
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908194 / - RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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 patient
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3" diameter & pruritis.


Changed on 9/14/2017

VAERS ID: 26819 Before After
VAERS Form:(blank) 1
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908194 / - UNK RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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 patient
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3" diameter & pruritis.


Changed on 2/14/2018

VAERS ID: 26819 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908194 / UNK RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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 patient
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3" diameter & pruritis.


Changed on 6/14/2018

VAERS ID: 26819 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908194 / UNK RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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 patient
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3" diameter & pruritis.


Changed on 8/14/2018

VAERS ID: 26819 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908194 / UNK RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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 patient
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3" diameter & pruritis.


Changed on 9/14/2018

VAERS ID: 26819 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908194 / UNK RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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 patient
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3" diameter & pruritis.


Changed on 10/14/2018

VAERS ID: 26819 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:1990-11-12
Onset:1990-11-13
Submitted:1990-11-13
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908194 / UNK RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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 patient
Other Medications:
Current Illness:
Preexisting Conditions: Allergies Aspirin, Keflex, topical Iodine allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reporter is MD states would have required Dr visit if wasn''t an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3" diameter & pruritis.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26819&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166