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This is VAERS ID 27245

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27245
VAERS Form:
Age:61.3
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS 020590P / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: FEVER, HEADACHE, COUGH INC, PHARYNGITIS, CONJUNCTIVITIS

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 12/8/2009

VAERS ID: 27245 Before After
VAERS Form:
Age:61.3
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1991-01-04 1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS 020590P / 0 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, Pyrexia, FEVER, HEADACHE, COUGH INC, PHARYNGITIS, CONJUNCTIVITIS

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 8/31/2010

VAERS ID: 27245 Before After
VAERS Form:
Age:61.3
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 7/7/2013

VAERS ID: 27245 Before After
VAERS Form:
Age:61.3
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 0 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 2/14/2017

VAERS ID: 27245 Before After
VAERS Form:
Age:61.3 61.0
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 5/14/2017

VAERS ID: 27245 Before After
VAERS Form:
Age:61.0
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 9/14/2017

VAERS ID: 27245 Before After
VAERS Form:(blank) 1
Age:61.0
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 0 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 2/14/2018

VAERS ID: 27245 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 6/14/2018

VAERS ID: 27245 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 8/14/2018

VAERS ID: 27245 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 9/14/2018

VAERS ID: 27245 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 10/14/2018

VAERS ID: 27245 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 12/24/2020

VAERS ID: 27245 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 12/30/2020

VAERS ID: 27245 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 5/7/2021

VAERS ID: 27245 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.


Changed on 5/14/2021

VAERS ID: 27245 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:Washington
Vaccinated:1990-12-11
Onset:1990-12-12
Submitted:1990-12-17
Entered:1990-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 020590P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Cough, Dysphonia, Headache, Pharyngitis, 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA90498

Write-up: Pt vaccinated with Influenza developed sore throat, runny nose, head cold, eyes blood shot, coughing, fever, headache & hoarse voice.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27245&WAYBACKHISTORY=ON


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