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This is VAERS ID 26843

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26843
VAERS Form:
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-08
Onset:1990-10-10
Submitted:0000-00-00
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908205 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, EDEMA, ABSCESS

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .


Changed on 12/8/2009

VAERS ID: 26843 Before After
VAERS Form:
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-08
Onset:1990-10-10
Submitted:0000-00-00
Entered:1990-12-04 1990-11-28
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 4908205 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abscess, Oedema, Pyrexia, FEVER, EDEMA, ABSCESS

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .


Changed on 8/31/2010

VAERS ID: 26843 Before After
VAERS Form:
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-08
Onset:1990-10-10
Submitted:0000-00-00
Entered:1990-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908205 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abscess, Oedema, Pyrexia

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .


Changed on 7/7/2013

VAERS ID: 26843 Before After
VAERS Form:
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-08
Onset:1990-10-10
Submitted:0000-00-00
Entered:1990-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / - - / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abscess, Oedema, Pyrexia

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .


Changed on 12/14/2016

VAERS ID: 26843 Before After
VAERS Form:
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-08
Onset:1990-10-10
Submitted:0000-00-00
Entered:1990-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / - - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abscess, Oedema, Pyrexia

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .


Changed on 5/14/2017

VAERS ID: 26843 Before After
VAERS Form:
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-08
Onset:1990-10-10
Submitted:0000-00-00
Entered:1990-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abscess, Oedema, Pyrexia

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .


Changed on 9/14/2017

VAERS ID: 26843 Before After
VAERS Form:(blank) 1
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-08
Onset:1990-10-10
Submitted:0000-00-00
Entered:1990-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abscess, Oedema, Pyrexia

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .


Changed on 2/14/2018

VAERS ID: 26843 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-08
Onset:1990-10-10
Submitted:0000-00-00
Entered:1990-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abscess, Oedema, Pyrexia

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .


Changed on 6/14/2018

VAERS ID: 26843 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-08
Onset:1990-10-10
Submitted:0000-00-00
Entered:1990-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abscess, Oedema, Pyrexia

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .


Changed on 8/14/2018

VAERS ID: 26843 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-08
Onset:1990-10-10
Submitted:0000-00-00
Entered:1990-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abscess, Oedema, Pyrexia

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .


Changed on 9/14/2018

VAERS ID: 26843 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-08
Onset:1990-10-10
Submitted:0000-00-00
Entered:1990-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abscess, Oedema, Pyrexia

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .


Changed on 10/14/2018

VAERS ID: 26843 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-08
Onset:1990-10-10
Submitted:0000-00-00
Entered:1990-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abscess, Oedema, Pyrexia

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26843&WAYBACKHISTORY=ON


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