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This is VAERS ID 27057

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27057
VAERS Form:
Age:21.9
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS OJ11031 / 0 A / IM
TYP: TYPHOID / WYETH 4898237 / 2 A / IM

Administered by: Military      Purchased by: Unknown
Symptoms: CHILLS, FEVER, HYPOTENS, DIARRHEA, LEUKOPENIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 12/30/2006

VAERS ID: 27057 Before After
VAERS Form:
Age:21.9
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS OJ11031 / 0 A / IM
TYP: TYPHOID / WYETH 4898237 / 2 A / IM

Administered by: Military      Purchased by: Unknown
Symptoms: CHILLS, FEVER, HYPOTENS, DIARRHEA, LEUKOPENIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s HB''''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 12/8/2009

VAERS ID: 27057 Before After
VAERS Form:
Age:21.9
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-19 1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 INFLUENZA (SEASONAL) (FLUZONE 89-90) / CONNAUGHT LABS CONNAUGHT LABORATORIES OJ11031 / 0 A / IM
TYP: TYPHOID TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / WYETH WYETH PHARMACEUTICALS, INC 4898237 / 2 A / IM

Administered by: Military      Purchased by: Unknown Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, Vomiting, CHILLS, FEVER, HYPOTENS, DIARRHEA, LEUKOPENIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''''s HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 8/31/2010

VAERS ID: 27057 Before After
VAERS Form:
Age:21.9
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 89-90) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 0 A / IM
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4898237 / 2 A / IM

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 7/7/2013

VAERS ID: 27057 Before After
VAERS Form:
Age:21.9
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 0 A / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 0 A / IM
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 2 A / IM

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 2/14/2017

VAERS ID: 27057 Before After
VAERS Form:
Age:21.9 21.0
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 0 A / IM
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 2 A / IM

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 5/14/2017

VAERS ID: 27057 Before After
VAERS Form:
Age:21.0
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 0 A - / IM IM A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 2 A - / IM IM A

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 9/14/2017

VAERS ID: 27057 Before After
VAERS Form:(blank) 1
Age:21.0
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 0 1 - / IM A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 2 3 - / IM A

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 2/14/2018

VAERS ID: 27057 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 1 - / IM A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 3 - / IM A

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 6/14/2018

VAERS ID: 27057 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 1 - / IM A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 3 - / IM A

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 8/14/2018

VAERS ID: 27057 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 1 - / IM A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 3 - / IM A

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 9/14/2018

VAERS ID: 27057 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 1 - / IM A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 3 - / IM A

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 10/14/2018

VAERS ID: 27057 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 1 - / IM A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 3 - / IM A

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 12/24/2020

VAERS ID: 27057 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 1 - / IM A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 3 - / IM A

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 12/30/2020

VAERS ID: 27057 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 1 - / IM A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 3 - / IM A

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 5/7/2021

VAERS ID: 27057 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 1 - / IM A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 3 - / IM A

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

Changed on 5/14/2021

VAERS ID: 27057 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Oregon
Vaccinated:1990-12-01
Onset:1990-12-01
Submitted:1990-12-11
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OJ11031 / 1 - / IM A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898237 / 3 - / IM A

Administered by: Military      Purchased by: Military
Symptoms: Chills, Diarrhoea, Hepatic function abnormal, Hypotension, Leukopenia, Nausea, Pyrexia, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC 'Split Type':

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27057&WAYBACKHISTORY=ON

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