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This is VAERS ID 27339

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27339
VAERS Form:
Age:76.2
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11208 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, NAUSEA, FLU SYND, PAIN, ASTHENIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 12/8/2009

VAERS ID: 27339 Before After
VAERS Form:
Age:76.2
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
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 0F11208 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia, FEVER, NAUSEA, FLU SYND, PAIN, ASTHENIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': (blank) AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 8/31/2010

VAERS ID: 27339 Before After
VAERS Form:
Age:76.2
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 7/7/2013

VAERS ID: 27339 Before After
VAERS Form:
Age:76.2
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 2/14/2017

VAERS ID: 27339 Before After
VAERS Form:
Age:76.2 76.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 5/14/2017

VAERS ID: 27339 Before After
VAERS Form:
Age:76.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 9/14/2017

VAERS ID: 27339 Before After
VAERS Form:(blank) 1
Age:76.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / - UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 2/14/2018

VAERS ID: 27339 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 6/14/2018

VAERS ID: 27339 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 8/14/2018

VAERS ID: 27339 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 9/14/2018

VAERS ID: 27339 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 10/14/2018

VAERS ID: 27339 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 12/24/2020

VAERS ID: 27339 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 12/30/2020

VAERS ID: 27339 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 5/7/2021

VAERS ID: 27339 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.


Changed on 5/14/2021

VAERS ID: 27339 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Arizona
Vaccinated:1990-10-29
Onset:1990-10-30
Submitted:1990-12-27
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hyperhidrosis, Influenza, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: CHF
Allergies:
Diagnostic Lab Data: Blood/Urine Cultures
CDC 'Split Type': AZ9003

Write-up: Pt vaccinated with Influenza c/o achiness & flu-like s/s first wk. Confirmed febrile - becomes febrile 3-4PM & as high as 102 by 6-7PM, nigh sweats, weakness, nausea.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27339&WAYBACKHISTORY=ON


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