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This is VAERS ID 27374

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27374
VAERS Form:
Age:65.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-10-17
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 079502 / 0 A / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: VERTIGO

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed vertigo.


Changed on 12/8/2009

VAERS ID: 27374 Before After
VAERS Form:
Age:65.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-10-17
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-14 1991-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) / WYETH WYETH PHARMACEUTICALS, INC 079502 / 0 A / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Vertigo, VERTIGO

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed vertigo.


Changed on 8/31/2010

VAERS ID: 27374 Before After
VAERS Form:
Age:65.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-10-17
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 079502 / 0 A / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Vertigo

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed vertigo.


Changed on 7/7/2013

VAERS ID: 27374 Before After
VAERS Form:
Age:65.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-10-17
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 079502 / 0 A / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 079502 / 0 A / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Vertigo

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed vertigo.


Changed on 12/14/2016

VAERS ID: 27374 Before After
VAERS Form:
Age:65.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-10-17
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 079502 / 0 A / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 079502 / 0 A / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Vertigo

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed vertigo.


Changed on 5/14/2017

VAERS ID: 27374 Before After
VAERS Form:
Age:65.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-10-17
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 079502 / 0 A - / - A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Vertigo

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed vertigo.


Changed on 9/14/2017

VAERS ID: 27374 Before After
VAERS Form:(blank) 1
Age:65.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-10-17
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 079502 / 0 1 - / A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Vertigo

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed vertigo.


Changed on 2/14/2018

VAERS ID: 27374 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-10-17
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 079502 / 1 - / A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Vertigo

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed vertigo.


Changed on 6/14/2018

VAERS ID: 27374 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-10-17
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 079502 / 1 - / A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Vertigo

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed vertigo.


Changed on 8/14/2018

VAERS ID: 27374 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-10-17
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 079502 / 1 - / A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Vertigo

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed vertigo.


Changed on 9/14/2018

VAERS ID: 27374 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-10-17
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 079502 / 1 - / A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Vertigo

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed vertigo.


Changed on 10/14/2018

VAERS ID: 27374 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-10-17
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 079502 / 1 - / A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Vertigo

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed vertigo.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27374&WAYBACKHISTORY=ON


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