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This is VAERS ID 27824

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27824
VAERS Form:
Age:40.7
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908212 / - A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, MASS INJECT SITE, PAIN INJECT SITE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 12/8/2009

VAERS ID: 27824 Before After
VAERS Form:
Age:40.7
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-13 1991-02-08
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 4908212 / - A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia, FEVER, MASS INJECT SITE, PAIN INJECT SITE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 8/31/2010

VAERS ID: 27824 Before After
VAERS Form:
Age:40.7
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908212 / - A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 7/7/2013

VAERS ID: 27824 Before After
VAERS Form:
Age:40.7
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / - A / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / - A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 12/14/2016

VAERS ID: 27824 Before After
VAERS Form:
Age:40.7
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / - A / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / - A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 2/14/2017

VAERS ID: 27824 Before After
VAERS Form:
Age:40.7 40.0
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / - A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 5/14/2017

VAERS ID: 27824 Before After
VAERS Form:
Age:40.0
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / - A - / IM IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 9/14/2017

VAERS ID: 27824 Before After
VAERS Form:(blank) 1
Age:40.0
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / - UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 2/14/2018

VAERS ID: 27824 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 6/14/2018

VAERS ID: 27824 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 8/14/2018

VAERS ID: 27824 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 9/14/2018

VAERS ID: 27824 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 10/14/2018

VAERS ID: 27824 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 12/24/2020

VAERS ID: 27824 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 12/30/2020

VAERS ID: 27824 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 5/7/2021

VAERS ID: 27824 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.


Changed on 5/14/2021

VAERS ID: 27824 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Georgia
Vaccinated:1990-11-06
Onset:1990-11-06
Submitted:1990-11-07
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908212 / UNK - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: yes - but not to vaccine per se
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx 24 past receiving flu vax noticed painful lump in rt axilla - same arm that injection given low grade temp noticed temp 99.2.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27824&WAYBACKHISTORY=ON

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