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This is VAERS ID 27399

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27399
VAERS Form:
Age:30.5
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-13
Onset:1990-11-14
Submitted:1991-01-08
Entered:1991-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11221 / 0 RA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: EDEMA INJECT SITE, INJECT SITE REACT, NAUSEA, ARTHRALGIA, MYALGIA

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: Pain, slight swelling & warmth at inject site next day. Nausea & generalized myalgia/arthralgia lasting a couple of days.


Changed on 12/8/2009

VAERS ID: 27399 Before After
VAERS Form:
Age:30.5
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-13
Onset:1990-11-14
Submitted:1991-01-08
Entered:1991-01-16 1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0F11221 / 0 RA / IM

Administered by: Other      Purchased by: Unknown Public
Symptoms: Arthralgia, Injection site oedema, Injection site reaction, Myalgia, Nausea, Pain, EDEMA INJECT SITE, INJECT SITE REACT, NAUSEA, ARTHRALGIA, MYALGIA

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) OK906

Write-up: Pain, slight swelling & warmth at inject site next day. Nausea & generalized myalgia/arthralgia lasting a couple of days.


Changed on 8/31/2010

VAERS ID: 27399 Before After
VAERS Form:
Age:30.5
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-13
Onset:1990-11-14
Submitted:1991-01-08
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 0 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Arthralgia, Injection site oedema, Injection site reaction, Myalgia, Nausea, Pain

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': OK906

Write-up: Pain, slight swelling & warmth at inject site next day. Nausea & generalized myalgia/arthralgia lasting a couple of days.


Changed on 7/7/2013

VAERS ID: 27399 Before After
VAERS Form:
Age:30.5
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-13
Onset:1990-11-14
Submitted:1991-01-08
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 0 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 0 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Arthralgia, Injection site oedema, Injection site reaction, Myalgia, Nausea, Pain

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': OK906

Write-up: Pain, slight swelling & warmth at inject site next day. Nausea & generalized myalgia/arthralgia lasting a couple of days.


Changed on 2/14/2017

VAERS ID: 27399 Before After
VAERS Form:
Age:30.5 30.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-13
Onset:1990-11-14
Submitted:1991-01-08
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 0 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Arthralgia, Injection site oedema, Injection site reaction, Myalgia, Nausea, Pain

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': OK906

Write-up: Pain, slight swelling & warmth at inject site next day. Nausea & generalized myalgia/arthralgia lasting a couple of days.


Changed on 5/14/2017

VAERS ID: 27399 Before After
VAERS Form:
Age:30.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-13
Onset:1990-11-14
Submitted:1991-01-08
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 0 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Arthralgia, Injection site oedema, Injection site reaction, Myalgia, Nausea, Pain

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': OK906

Write-up: Pain, slight swelling & warmth at inject site next day. Nausea & generalized myalgia/arthralgia lasting a couple of days.


Changed on 9/14/2017

VAERS ID: 27399 Before After
VAERS Form:(blank) 1
Age:30.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-13
Onset:1990-11-14
Submitted:1991-01-08
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 0 1 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Arthralgia, Injection site oedema, Injection site reaction, Myalgia, Nausea, Pain

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': OK906

Write-up: Pain, slight swelling & warmth at inject site next day. Nausea & generalized myalgia/arthralgia lasting a couple of days.


Changed on 2/14/2018

VAERS ID: 27399 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-13
Onset:1990-11-14
Submitted:1991-01-08
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 1 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Arthralgia, Injection site oedema, Injection site reaction, Myalgia, Nausea, Pain

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': OK906

Write-up: Pain, slight swelling & warmth at inject site next day. Nausea & generalized myalgia/arthralgia lasting a couple of days.


Changed on 6/14/2018

VAERS ID: 27399 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-13
Onset:1990-11-14
Submitted:1991-01-08
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 1 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Arthralgia, Injection site oedema, Injection site reaction, Myalgia, Nausea, Pain

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': OK906

Write-up: Pain, slight swelling & warmth at inject site next day. Nausea & generalized myalgia/arthralgia lasting a couple of days.


Changed on 8/14/2018

VAERS ID: 27399 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-13
Onset:1990-11-14
Submitted:1991-01-08
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 1 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Arthralgia, Injection site oedema, Injection site reaction, Myalgia, Nausea, Pain

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': OK906

Write-up: Pain, slight swelling & warmth at inject site next day. Nausea & generalized myalgia/arthralgia lasting a couple of days.


Changed on 9/14/2018

VAERS ID: 27399 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-13
Onset:1990-11-14
Submitted:1991-01-08
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 1 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Arthralgia, Injection site oedema, Injection site reaction, Myalgia, Nausea, Pain

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': OK906

Write-up: Pain, slight swelling & warmth at inject site next day. Nausea & generalized myalgia/arthralgia lasting a couple of days.


Changed on 10/14/2018

VAERS ID: 27399 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-13
Onset:1990-11-14
Submitted:1991-01-08
Entered:1991-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 1 RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Arthralgia, Injection site oedema, Injection site reaction, Myalgia, Nausea, Pain

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': OK906

Write-up: Pain, slight swelling & warmth at inject site next day. Nausea & generalized myalgia/arthralgia lasting a couple of days.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27399&WAYBACKHISTORY=ON


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