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This is VAERS ID 28403

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 28403
VAERS Form:
Age:60.2
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11222 / - LA / -

Administered by: Public      Purchased by: Unknown
Symptoms: TENOSYNOVITIS, PARESTHESIA, CONJUNCTIVITIS, FURUNCULOSIS

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: NONE
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': heart condition, damaged getic nerve

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 12/8/2009

VAERS ID: 28403 Before After
VAERS Form:
Age:60.2
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-27 1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0F11222 / - LA / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis, TENOSYNOVITIS, PARESTHESIA, CONJUNCTIVITIS, FURUNCULOSIS

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: NONE
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': heart condition, damaged getic nerve OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 8/31/2010

VAERS ID: 28403 Before After
VAERS Form:
Age:60.2
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 7/7/2013

VAERS ID: 28403 Before After
VAERS Form:
Age:60.2
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - LA / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 2/14/2017

VAERS ID: 28403 Before After
VAERS Form:
Age:60.2 60.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 5/14/2017

VAERS ID: 28403 Before After
VAERS Form:
Age:60.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE NONE~ ()~~~In patient
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 9/14/2017

VAERS ID: 28403 Before After
VAERS Form:(blank) 1
Age:60.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - UNK LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE~ ()~~~In patient
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 2/14/2018

VAERS ID: 28403 Before After
VAERS Form:1
Age:60.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE~ ()~~~In patient
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 6/14/2018

VAERS ID: 28403 Before After
VAERS Form:1
Age:60.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE~ ()~~~In patient
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 8/14/2018

VAERS ID: 28403 Before After
VAERS Form:1
Age:60.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE~ ()~~~In patient
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 9/14/2018

VAERS ID: 28403 Before After
VAERS Form:1
Age:60.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE~ ()~~~In patient
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 10/14/2018

VAERS ID: 28403 Before After
VAERS Form:1
Age:60.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE~ ()~~~In patient
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 12/24/2020

VAERS ID: 28403 Before After
VAERS Form:1
Age:60.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE~ ()~~~In patient
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 12/30/2020

VAERS ID: 28403 Before After
VAERS Form:1
Age:60.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE~ ()~~~In patient
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 5/7/2021

VAERS ID: 28403 Before After
VAERS Form:1
Age:60.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE~ ()~~~In patient
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".


Changed on 5/14/2021

VAERS ID: 28403 Before After
VAERS Form:1
Age:60.0
Sex:Male
Location:Ohio
Vaccinated:1990-11-29
Onset:1990-12-13
Submitted:1991-02-14
Entered:1991-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Public
Symptoms: Conjunctivitis, Furuncle, Paraesthesia, Tenosynovitis

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: NONE~ ()~~~In patient
Other Medications: Metoprolol, nifidipine, isosorbib
Current Illness: NONE
Preexisting Conditions: heart condition, damaged getic nerve
Allergies:
Diagnostic Lab Data: Tendonitis
CDC 'Split Type': OH91011

Write-up: Numbness lt shoulder to finger tips- neck boil-like rt eye hot & like "hot oil".

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28403&WAYBACKHISTORY=ON

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