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This is VAERS ID 26880

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26880
VAERS Form:
Age:44.3
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11221 / 0 LA / -

Administered by: Other      Purchased by: Unknown
Symptoms: CHILLS, HEADACHE, DYSPNEA, PAIN CHEST, COUGH INC

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''t breathe & had a cement block on chest.


Changed on 12/30/2006

VAERS ID: 26880 Before After
VAERS Form:
Age:44.3
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11221 / 0 LA / -

Administered by: Other      Purchased by: Unknown
Symptoms: CHILLS, HEADACHE, DYSPNEA, PAIN CHEST, COUGH INC

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''t couldn''''t breathe & had a cement block on chest.


Changed on 12/8/2009

VAERS ID: 26880 Before After
VAERS Form:
Age:44.3
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-05 1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0F11221 / 0 LA / -

Administered by: Other      Purchased by: Unknown Public
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Headache, Injection site pain, Neck pain, Paraesthesia, Rhinitis, Vomiting, CHILLS, HEADACHE, DYSPNEA, PAIN CHEST, COUGH INC

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''''t couldn''t breathe & had a cement block on chest.


Changed on 8/31/2010

VAERS ID: 26880 Before After
VAERS Form:
Age:44.3
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 0 LA / -

Administered by: Other      Purchased by: Public
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Headache, Injection site pain, Neck pain, Paraesthesia, Rhinitis, Vomiting

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''t breathe & had a cement block on chest.


Changed on 7/7/2013

VAERS ID: 26880 Before After
VAERS Form:
Age:44.3
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 0 LA / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 0 LA / -

Administered by: Other      Purchased by: Public
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Headache, Injection site pain, Neck pain, Paraesthesia, Rhinitis, Vomiting

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''t breathe & had a cement block on chest.


Changed on 2/14/2017

VAERS ID: 26880 Before After
VAERS Form:
Age:44.3 44.0
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 0 LA / -

Administered by: Other      Purchased by: Public
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Headache, Injection site pain, Neck pain, Paraesthesia, Rhinitis, Vomiting

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''t breathe & had a cement block on chest.


Changed on 5/14/2017

VAERS ID: 26880 Before After
VAERS Form:
Age:44.0
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 0 LA / -

Administered by: Other      Purchased by: Public
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Headache, Injection site pain, Neck pain, Paraesthesia, Rhinitis, Vomiting

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''t breathe & had a cement block on chest.


Changed on 9/14/2017

VAERS ID: 26880 Before After
VAERS Form:(blank) 1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 0 1 LA / -

Administered by: Other      Purchased by: Public
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Headache, Injection site pain, Neck pain, Paraesthesia, Rhinitis, Vomiting

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''t breathe & had a cement block on chest.


Changed on 2/14/2018

VAERS ID: 26880 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 1 LA / -

Administered by: Other      Purchased by: Public
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Headache, Injection site pain, Neck pain, Paraesthesia, Rhinitis, Vomiting

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''t breathe & had a cement block on chest.


Changed on 6/14/2018

VAERS ID: 26880 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 1 LA / -

Administered by: Other      Purchased by: Public
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Headache, Injection site pain, Neck pain, Paraesthesia, Rhinitis, Vomiting

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''t breathe & had a cement block on chest.


Changed on 8/14/2018

VAERS ID: 26880 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 1 LA / -

Administered by: Other      Purchased by: Public
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Headache, Injection site pain, Neck pain, Paraesthesia, Rhinitis, Vomiting

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''t breathe & had a cement block on chest.


Changed on 9/14/2018

VAERS ID: 26880 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 1 LA / -

Administered by: Other      Purchased by: Public
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Headache, Injection site pain, Neck pain, Paraesthesia, Rhinitis, Vomiting

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''t breathe & had a cement block on chest.


Changed on 10/14/2018

VAERS ID: 26880 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:1990-11-19
Onset:1990-11-19
Submitted:1990-11-24
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 1 LA / -

Administered by: Other      Purchased by: Public
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Headache, Injection site pain, Neck pain, Paraesthesia, Rhinitis, Vomiting

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: Coumadin, Premarin, Ativan, Emycin,Ampicillin
Current Illness:
Preexisting Conditions: Codeine, open heart surgery for dysfunctional aortic valve 3/90
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn''t breathe & had a cement block on chest.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26880&WAYBACKHISTORY=ON


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