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This is VAERS ID 27386

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27386
VAERS Form:
Age:76.1
Sex:Male
Location:Florida
Vaccinated:1990-11-07
Onset:1990-11-11
Submitted:1991-01-02
Entered:1991-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS 0190P / 1 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: RASH, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Alopurinol
Current Illness:
Preexisting Conditions: Gout
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 4 wks after imm. developed severe weakness lasting 3-4 wks; rash on chest and buttocks & fingers; inject site red with white eruptions. Did not see a MD.


Changed on 12/8/2009

VAERS ID: 27386 Before After
VAERS Form:
Age:76.1
Sex:Male
Location:Florida
Vaccinated:1990-11-07
Onset:1990-11-11
Submitted:1991-01-02
Entered:1991-01-16 1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS 0190P / 1 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Asthenia, Rash, RASH, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Alopurinol
Current Illness:
Preexisting Conditions: Gout
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) FL9008

Write-up: Approx 4 wks after imm. developed severe weakness lasting 3-4 wks; rash on chest and buttocks & fingers; inject site red with white eruptions. Did not see a MD.


Changed on 8/31/2010

VAERS ID: 27386 Before After
VAERS Form:
Age:76.1
Sex:Male
Location:Florida
Vaccinated:1990-11-07
Onset:1990-11-11
Submitted:1991-01-02
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 0190P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Rash

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: Alopurinol
Current Illness:
Preexisting Conditions: Gout
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9008

Write-up: Approx 4 wks after imm. developed severe weakness lasting 3-4 wks; rash on chest and buttocks & fingers; inject site red with white eruptions. Did not see a MD.


Changed on 7/7/2013

VAERS ID: 27386 Before After
VAERS Form:
Age:76.1
Sex:Male
Location:Florida
Vaccinated:1990-11-07
Onset:1990-11-11
Submitted:1991-01-02
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 0190P / 1 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 0190P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Rash

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: Alopurinol
Current Illness:
Preexisting Conditions: Gout
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9008

Write-up: Approx 4 wks after imm. developed severe weakness lasting 3-4 wks; rash on chest and buttocks & fingers; inject site red with white eruptions. Did not see a MD.


Changed on 2/14/2017

VAERS ID: 27386 Before After
VAERS Form:
Age:76.1 76.0
Sex:Male
Location:Florida
Vaccinated:1990-11-07
Onset:1990-11-11
Submitted:1991-01-02
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 0190P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Rash

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: Alopurinol
Current Illness:
Preexisting Conditions: Gout
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9008

Write-up: Approx 4 wks after imm. developed severe weakness lasting 3-4 wks; rash on chest and buttocks & fingers; inject site red with white eruptions. Did not see a MD.


Changed on 5/14/2017

VAERS ID: 27386 Before After
VAERS Form:
Age:76.0
Sex:Male
Location:Florida
Vaccinated:1990-11-07
Onset:1990-11-11
Submitted:1991-01-02
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 0190P / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Rash

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: Alopurinol
Current Illness:
Preexisting Conditions: Gout
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9008

Write-up: Approx 4 wks after imm. developed severe weakness lasting 3-4 wks; rash on chest and buttocks & fingers; inject site red with white eruptions. Did not see a MD.


Changed on 9/14/2017

VAERS ID: 27386 Before After
VAERS Form:(blank) 1
Age:76.0
Sex:Male
Location:Florida
Vaccinated:1990-11-07
Onset:1990-11-11
Submitted:1991-01-02
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 0190P / 1 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Rash

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: Alopurinol
Current Illness:
Preexisting Conditions: Gout
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9008

Write-up: Approx 4 wks after imm. developed severe weakness lasting 3-4 wks; rash on chest and buttocks & fingers; inject site red with white eruptions. Did not see a MD.


Changed on 2/14/2018

VAERS ID: 27386 Before After
VAERS Form:1
Age:76.0
Sex:Male
Location:Florida
Vaccinated:1990-11-07
Onset:1990-11-11
Submitted:1991-01-02
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 0190P / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Rash

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: Alopurinol
Current Illness:
Preexisting Conditions: Gout
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9008

Write-up: Approx 4 wks after imm. developed severe weakness lasting 3-4 wks; rash on chest and buttocks & fingers; inject site red with white eruptions. Did not see a MD.


Changed on 6/14/2018

VAERS ID: 27386 Before After
VAERS Form:1
Age:76.0
Sex:Male
Location:Florida
Vaccinated:1990-11-07
Onset:1990-11-11
Submitted:1991-01-02
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 0190P / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Rash

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: Alopurinol
Current Illness:
Preexisting Conditions: Gout
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9008

Write-up: Approx 4 wks after imm. developed severe weakness lasting 3-4 wks; rash on chest and buttocks & fingers; inject site red with white eruptions. Did not see a MD.


Changed on 8/14/2018

VAERS ID: 27386 Before After
VAERS Form:1
Age:76.0
Sex:Male
Location:Florida
Vaccinated:1990-11-07
Onset:1990-11-11
Submitted:1991-01-02
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 0190P / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Rash

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: Alopurinol
Current Illness:
Preexisting Conditions: Gout
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9008

Write-up: Approx 4 wks after imm. developed severe weakness lasting 3-4 wks; rash on chest and buttocks & fingers; inject site red with white eruptions. Did not see a MD.


Changed on 9/14/2018

VAERS ID: 27386 Before After
VAERS Form:1
Age:76.0
Sex:Male
Location:Florida
Vaccinated:1990-11-07
Onset:1990-11-11
Submitted:1991-01-02
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 0190P / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Rash

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: Alopurinol
Current Illness:
Preexisting Conditions: Gout
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9008

Write-up: Approx 4 wks after imm. developed severe weakness lasting 3-4 wks; rash on chest and buttocks & fingers; inject site red with white eruptions. Did not see a MD.


Changed on 10/14/2018

VAERS ID: 27386 Before After
VAERS Form:1
Age:76.0
Sex:Male
Location:Florida
Vaccinated:1990-11-07
Onset:1990-11-11
Submitted:1991-01-02
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 0190P / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Rash

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: Alopurinol
Current Illness:
Preexisting Conditions: Gout
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FL9008

Write-up: Approx 4 wks after imm. developed severe weakness lasting 3-4 wks; rash on chest and buttocks & fingers; inject site red with white eruptions. Did not see a MD.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27386&WAYBACKHISTORY=ON


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