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History of Changes from the VAERS Wayback Machine |
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.
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:
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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