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This is VAERS ID 28556

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 28556
VAERS Form:
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS 9F01201 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: PAIN INJECT SITE, EDEMA FACE, EDEMA, PRURITUS, ALLERG REACT

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: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type':

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 12/8/2009

VAERS ID: 28556 Before After
VAERS Form:
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-04-08 1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 INFLUENZA (SEASONAL) (FLUZONE 89-90) / CONNAUGHT LABS CONNAUGHT LABORATORIES 9F01201 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, Rash, PAIN INJECT SITE, EDEMA FACE, EDEMA, PRURITUS, ALLERG REACT

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: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': (blank) CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 8/31/2010

VAERS ID: 28556 Before After
VAERS Form:
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 89-90) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 7/7/2013

VAERS ID: 28556 Before After
VAERS Form:
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 5/14/2017

VAERS ID: 28556 Before After
VAERS Form:
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 9/14/2017

VAERS ID: 28556 Before After
VAERS Form:(blank) 1
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 2/14/2018

VAERS ID: 28556 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 6/14/2018

VAERS ID: 28556 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 8/14/2018

VAERS ID: 28556 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 9/14/2018

VAERS ID: 28556 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 10/14/2018

VAERS ID: 28556 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 12/24/2020

VAERS ID: 28556 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 12/30/2020

VAERS ID: 28556 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 5/7/2021

VAERS ID: 28556 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;


Changed on 5/14/2021

VAERS ID: 28556 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Texas
Vaccinated:1989-12-02
Onset:1989-12-02
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01201 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Injection site pain, Oedema, Pruritus, 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:
Current Illness: not available
Preexisting Conditions: No hx of allergies;
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3234

Write-up: Allergic rxn 4-6hrs post vax developed swelling & redness of hands & feet; Swelling & redness around mouth; Itching present; Inject site normal x/some soreness;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28556&WAYBACKHISTORY=ON

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