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This is VAERS ID 26822

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26822
VAERS Form:
Age:44.1
Sex:Female
Location:Oklahoma
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-11-19
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS 01870P / - A / -

Administered by: Public      Purchased by: Unknown
Symptoms: FEVER, RASH, EDEMA FACE, 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)? No
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 Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck


Changed on 12/8/2009

VAERS ID: 26822 Before After
VAERS Form:
Age:44.1
Sex:Female
Location:Oklahoma
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-11-19
Entered:1990-12-04 1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS 01870P / - A / -

Administered by: Public      Purchased by: Unknown Private
Symptoms: Face oedema, Pyrexia, Rash, Nuchal rigidity, FEVER, RASH, EDEMA FACE, 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)? No
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 Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck


Changed on 8/31/2010

VAERS ID: 26822 Before After
VAERS Form:
Age:44.1
Sex:Female
Location:Oklahoma
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-11-19
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01870P / - A / -

Administered by: Public      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Rash, 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)? No
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 Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck


Changed on 7/7/2013

VAERS ID: 26822 Before After
VAERS Form:
Age:44.1
Sex:Female
Location:Oklahoma
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-11-19
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01870P / - A / -
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01870P / - A / -

Administered by: Public      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Rash, 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)? No
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 Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck


Changed on 2/14/2017

VAERS ID: 26822 Before After
VAERS Form:
Age:44.1 44.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-11-19
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01870P / - A / -

Administered by: Public      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Rash, 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)? No
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 Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck


Changed on 5/14/2017

VAERS ID: 26822 Before After
VAERS Form:
Age:44.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-11-19
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01870P / - A - / - A

Administered by: Public      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Rash, 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)? No
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 Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck


Changed on 9/14/2017

VAERS ID: 26822 Before After
VAERS Form:(blank) 1
Age:44.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-11-19
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01870P / - UNK - / A

Administered by: Public      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Rash, 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)? No
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 Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck


Changed on 2/14/2018

VAERS ID: 26822 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-11-19
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01870P / UNK - / A

Administered by: Public      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Rash, 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)? No
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 Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck


Changed on 6/14/2018

VAERS ID: 26822 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-11-19
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01870P / UNK - / A

Administered by: Public      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Rash, 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)? No
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 Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck


Changed on 8/14/2018

VAERS ID: 26822 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-11-19
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01870P / UNK - / A

Administered by: Public      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Rash, 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)? No
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 Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck


Changed on 9/14/2018

VAERS ID: 26822 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-11-19
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01870P / UNK - / A

Administered by: Public      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Rash, 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)? No
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 Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck


Changed on 10/14/2018

VAERS ID: 26822 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-11-19
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01870P / UNK - / A

Administered by: Public      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Rash, 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)? No
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 Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26822&WAYBACKHISTORY=ON


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