National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 27093

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27093
VAERS Form:
Age:64.4
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS 01570P / 0 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: FEVER, NAUSEA, HEADACHE, MALAISE

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. ""Felt very sick.""


Changed on 12/8/2009

VAERS ID: 27093 Before After
VAERS Form:
Age:64.4
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1991-01-08 1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS 01570P / 0 RA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Headache, Malaise, Nausea, Pyrexia, FEVER, NAUSEA, HEADACHE, MALAISE

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. ""Felt "Felt very sick."" sick."


Changed on 8/31/2010

VAERS ID: 27093 Before After
VAERS Form:
Age:64.4
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 7/7/2013

VAERS ID: 27093 Before After
VAERS Form:
Age:64.4
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 0 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 2/14/2017

VAERS ID: 27093 Before After
VAERS Form:
Age:64.4 64.0
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 5/14/2017

VAERS ID: 27093 Before After
VAERS Form:
Age:64.0
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 9/14/2017

VAERS ID: 27093 Before After
VAERS Form:(blank) 1
Age:64.0
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 0 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 2/14/2018

VAERS ID: 27093 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 6/14/2018

VAERS ID: 27093 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 8/14/2018

VAERS ID: 27093 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 9/14/2018

VAERS ID: 27093 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 10/14/2018

VAERS ID: 27093 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 12/24/2020

VAERS ID: 27093 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 12/30/2020

VAERS ID: 27093 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 5/7/2021

VAERS ID: 27093 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."


Changed on 5/14/2021

VAERS ID: 27093 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Florida
Vaccinated:1990-11-16
Onset:1990-11-16
Submitted:1990-11-21
Entered:1990-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01570P / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Headache, Malaise, Nausea, Pyrexia

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: lactose, demerol, morphine, Irritable bowel
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9001

Write-up: Pt vaccinated with Influenza developed headache, felt nauseated,temp rose to 101 oral. "Felt very sick."

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27093&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166