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This is VAERS ID 27316

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27316
VAERS Form:
Age:69.3
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS 02580P / - LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: RASH, PRURITUS, MYALGIA, 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)? Yes
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 FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 12/8/2009

VAERS ID: 27316 Before After
VAERS Form:
Age:69.3
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-09 1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS 02580P / - LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Malaise, Myalgia, Pruritus, Rash, RASH, PRURITUS, MYALGIA, 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)? Yes
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) FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 8/31/2010

VAERS ID: 27316 Before After
VAERS Form:
Age:69.3
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / - LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 7/7/2013

VAERS ID: 27316 Before After
VAERS Form:
Age:69.3
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / - LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / - LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 2/14/2017

VAERS ID: 27316 Before After
VAERS Form:
Age:69.3 69.0
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / - LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 5/14/2017

VAERS ID: 27316 Before After
VAERS Form:
Age:69.0
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / - LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 9/14/2017

VAERS ID: 27316 Before After
VAERS Form:(blank) 1
Age:69.0
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / - UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 2/14/2018

VAERS ID: 27316 Before After
VAERS Form:1
Age:69.0
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 6/14/2018

VAERS ID: 27316 Before After
VAERS Form:1
Age:69.0
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 8/14/2018

VAERS ID: 27316 Before After
VAERS Form:1
Age:69.0
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 9/14/2018

VAERS ID: 27316 Before After
VAERS Form:1
Age:69.0
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 10/14/2018

VAERS ID: 27316 Before After
VAERS Form:1
Age:69.0
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 12/24/2020

VAERS ID: 27316 Before After
VAERS Form:1
Age:69.0
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 12/30/2020

VAERS ID: 27316 Before After
VAERS Form:1
Age:69.0
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 5/7/2021

VAERS ID: 27316 Before After
VAERS Form:1
Age:69.0
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.


Changed on 5/14/2021

VAERS ID: 27316 Before After
VAERS Form:1
Age:69.0
Sex:Female
Location:Florida
Vaccinated:1990-10-02
Onset:1990-10-02
Submitted:1990-12-14
Entered:1991-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02580P / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Malaise, Myalgia, Pruritus, Rash

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9006

Write-up: Pt vaccinated with FLUOGEN developed rash over trunk w/intense itching 13 hrs after injection. Felt "very bad". Myalgia.

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