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This is VAERS ID 27292

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27292
VAERS Form:
Age:79.5
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS OF11222 / - - / -

Administered by: Public      Purchased by: Unknown
Symptoms: DYSPNEA, EDEMA FACE, AMBLYOPIA, DYSURIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 12/8/2009

VAERS ID: 27292 Before After
VAERS Form:
Age:79.5
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
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 OF11222 / - - / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema, DYSPNEA, EDEMA FACE, AMBLYOPIA, DYSURIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 8/31/2010

VAERS ID: 27292 Before After
VAERS Form:
Age:79.5
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 7/7/2013

VAERS ID: 27292 Before After
VAERS Form:
Age:79.5
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 2/14/2017

VAERS ID: 27292 Before After
VAERS Form:
Age:79.5 79.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 5/14/2017

VAERS ID: 27292 Before After
VAERS Form:
Age:79.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 9/14/2017

VAERS ID: 27292 Before After
VAERS Form:(blank) 1
Age:79.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / - UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 2/14/2018

VAERS ID: 27292 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 6/14/2018

VAERS ID: 27292 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 8/14/2018

VAERS ID: 27292 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 9/14/2018

VAERS ID: 27292 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 10/14/2018

VAERS ID: 27292 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 12/24/2020

VAERS ID: 27292 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 12/30/2020

VAERS ID: 27292 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 5/7/2021

VAERS ID: 27292 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.


Changed on 5/14/2021

VAERS ID: 27292 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-07
Onset:1990-11-09
Submitted:1990-11-16
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OF11222 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Amblyopia, Dyspnoea, Dysuria, Face oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Ru-tuss
Current Illness:
Preexisting Conditions: allergies to antihistamines
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9057

Write-up: Pt vaccinated with Influenza wife stated that her husband is allergic to antihistamines. He took the RU-Tuss from about 9NOV90 t6rough 13NOV90 symptoms were; SOB, swelling around the eyes, blurred vision & difficulty urinating.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27292&WAYBACKHISTORY=ON


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