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This is VAERS ID 27337

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27337
VAERS Form:
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11203 / - LA / IM
PPV: PNU-IMUNE(R)23 / LEDERLE 285909 / 0 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: INJECT SITE REACT, ARTHROSIS

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow ""sagy"" looking. No other symptoms, pain, or irritation.


Changed on 12/8/2009

VAERS ID: 27337 Before After
VAERS Form:
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-10 1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0F11203 / - LA / IM
PPV: PNU-IMUNE(R)23 PNEUMO (PNU-IMUNE) / LEDERLE LEDERLE LABORATORIES 285909 / 0 RA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Injection site reaction, Osteoarthritis, INJECT SITE REACT, ARTHROSIS

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow ""sagy"" "sagy" looking. No other symptoms, pain, or irritation.


Changed on 8/31/2010

VAERS ID: 27337 Before After
VAERS Form:
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / - LA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 285909 / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.


Changed on 7/7/2013

VAERS ID: 27337 Before After
VAERS Form:
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / - LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / - LA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 285909 / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.


Changed on 5/14/2017

VAERS ID: 27337 Before After
VAERS Form:
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / - LA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 285909 / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.


Changed on 9/14/2017

VAERS ID: 27337 Before After
VAERS Form:(blank) 1
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / - UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 0 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.


Changed on 2/14/2018

VAERS ID: 27337 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.


Changed on 6/14/2018

VAERS ID: 27337 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.


Changed on 8/14/2018

VAERS ID: 27337 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.


Changed on 9/14/2018

VAERS ID: 27337 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.


Changed on 10/14/2018

VAERS ID: 27337 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.


Changed on 12/24/2020

VAERS ID: 27337 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.


Changed on 12/30/2020

VAERS ID: 27337 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.


Changed on 5/7/2021

VAERS ID: 27337 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.


Changed on 5/14/2021

VAERS ID: 27337 Before After
VAERS Form:1
Age:62.0
Sex:Male
Location:California
Vaccinated:1990-12-06
Onset:1990-12-07
Submitted:1990-12-07
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site reaction, Osteoarthritis

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:
Current Illness:
Preexisting Conditions: Bee''s/Wasps, bad back
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA9025

Write-up: Pt vaccinated with Pneumococcal/FLU noted heat at injection site- rt arm extending to elbow w/fluid accumulation at elbow, making elbow "sagy" looking. No other symptoms, pain, or irritation.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27337&WAYBACKHISTORY=ON


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