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This is VAERS ID 27290

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27290
VAERS Form:
Age:71.1
Sex:Female
Location:Ohio
Vaccinated:1990-10-30
Onset:1990-11-15
Submitted:1990-12-05
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11222 / - - / -

Administered by: Public      Purchased by: Unknown
Symptoms: VOMIT, DIARRHEA

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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: In pt; aching; 70yrold; Flu vax;
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: kidney infection
CDC 'Split Type':

Write-up: Pt vaccinated with FLU experienced vomiting (forceful); Diarrhea.


Changed on 12/8/2009

VAERS ID: 27290 Before After
VAERS Form:
Age:71.1
Sex:Female
Location:Ohio
Vaccinated:1990-10-30
Onset:1990-11-15
Submitted:1990-12-05
Entered:1991-01-08 1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0F11222 / - - / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Diarrhoea, Vomiting, VOMIT, DIARRHEA

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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: In pt; aching; 70yrold; Flu vax;
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: kidney infection
CDC 'Split Type': (blank) OH9055

Write-up: Pt vaccinated with FLU experienced vomiting (forceful); Diarrhea.


Changed on 8/31/2010

VAERS ID: 27290 Before After
VAERS Form:
Age:71.1
Sex:Female
Location:Ohio
Vaccinated:1990-10-30
Onset:1990-11-15
Submitted:1990-12-05
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Diarrhoea, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: In pt; aching; 70yrold; Flu vax;
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: kidney infection
CDC 'Split Type': OH9055

Write-up: Pt vaccinated with FLU experienced vomiting (forceful); Diarrhea.


Changed on 7/7/2013

VAERS ID: 27290 Before After
VAERS Form:
Age:71.1
Sex:Female
Location:Ohio
Vaccinated:1990-10-30
Onset:1990-11-15
Submitted:1990-12-05
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Diarrhoea, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: In pt; aching; 70yrold; Flu vax;
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: kidney infection
CDC 'Split Type': OH9055

Write-up: Pt vaccinated with FLU experienced vomiting (forceful); Diarrhea.


Changed on 2/14/2017

VAERS ID: 27290 Before After
VAERS Form:
Age:71.1 71.0
Sex:Female
Location:Ohio
Vaccinated:1990-10-30
Onset:1990-11-15
Submitted:1990-12-05
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Diarrhoea, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: In pt; aching; 70yrold; Flu vax;
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: kidney infection
CDC 'Split Type': OH9055

Write-up: Pt vaccinated with FLU experienced vomiting (forceful); Diarrhea.


Changed on 5/14/2017

VAERS ID: 27290 Before After
VAERS Form:
Age:71.0
Sex:Female
Location:Ohio
Vaccinated:1990-10-30
Onset:1990-11-15
Submitted:1990-12-05
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Diarrhoea, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: In pt; aching; 70yrold; Flu vax; vax;~ ()~~~In patient
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: kidney infection
CDC 'Split Type': OH9055

Write-up: Pt vaccinated with FLU experienced vomiting (forceful); Diarrhea.


Changed on 9/14/2017

VAERS ID: 27290 Before After
VAERS Form:(blank) 1
Age:71.0
Sex:Female
Location:Ohio
Vaccinated:1990-10-30
Onset:1990-11-15
Submitted:1990-12-05
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Diarrhoea, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: In pt; aching; 70yrold; Flu vax;~ ()~~~In patient
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: kidney infection
CDC 'Split Type': OH9055

Write-up: Pt vaccinated with FLU experienced vomiting (forceful); Diarrhea.


Changed on 2/14/2018

VAERS ID: 27290 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Ohio
Vaccinated:1990-10-30
Onset:1990-11-15
Submitted:1990-12-05
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Diarrhoea, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: In pt; aching; 70yrold; Flu vax;~ ()~~~In patient
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: kidney infection
CDC 'Split Type': OH9055

Write-up: Pt vaccinated with FLU experienced vomiting (forceful); Diarrhea.


Changed on 6/14/2018

VAERS ID: 27290 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Ohio
Vaccinated:1990-10-30
Onset:1990-11-15
Submitted:1990-12-05
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Diarrhoea, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: In pt; aching; 70yrold; Flu vax;~ ()~~~In patient
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: kidney infection
CDC 'Split Type': OH9055

Write-up: Pt vaccinated with FLU experienced vomiting (forceful); Diarrhea.


Changed on 8/14/2018

VAERS ID: 27290 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Ohio
Vaccinated:1990-10-30
Onset:1990-11-15
Submitted:1990-12-05
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Diarrhoea, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: In pt; aching; 70yrold; Flu vax;~ ()~~~In patient
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: kidney infection
CDC 'Split Type': OH9055

Write-up: Pt vaccinated with FLU experienced vomiting (forceful); Diarrhea.


Changed on 9/14/2018

VAERS ID: 27290 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Ohio
Vaccinated:1990-10-30
Onset:1990-11-15
Submitted:1990-12-05
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Diarrhoea, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: In pt; aching; 70yrold; Flu vax;~ ()~~~In patient
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: kidney infection
CDC 'Split Type': OH9055

Write-up: Pt vaccinated with FLU experienced vomiting (forceful); Diarrhea.


Changed on 10/14/2018

VAERS ID: 27290 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Ohio
Vaccinated:1990-10-30
Onset:1990-11-15
Submitted:1990-12-05
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Diarrhoea, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: In pt; aching; 70yrold; Flu vax;~ ()~~~In patient
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: kidney infection
CDC 'Split Type': OH9055

Write-up: Pt vaccinated with FLU experienced vomiting (forceful); Diarrhea.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27290&WAYBACKHISTORY=ON


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