National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 28559

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 28559
VAERS Form:
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, HEADACHE, FLU SYND, MALAISE, GASTROENTERITIS

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type':

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 12/8/2009

VAERS ID: 28559 Before After
VAERS Form:
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
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 - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia, FEVER, HEADACHE, FLU SYND, MALAISE, GASTROENTERITIS

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': (blank) CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 8/31/2010

VAERS ID: 28559 Before After
VAERS Form:
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
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 - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 7/7/2013

VAERS ID: 28559 Before After
VAERS Form:
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 5/14/2017

VAERS ID: 28559 Before After
VAERS Form:
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 9/14/2017

VAERS ID: 28559 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 2/14/2018

VAERS ID: 28559 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 6/14/2018

VAERS ID: 28559 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 8/14/2018

VAERS ID: 28559 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 9/14/2018

VAERS ID: 28559 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 10/14/2018

VAERS ID: 28559 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 12/24/2020

VAERS ID: 28559 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 12/30/2020

VAERS ID: 28559 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 5/7/2021

VAERS ID: 28559 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;


Changed on 5/14/2021

VAERS ID: 28559 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1989-10-06
Onset:1989-10-17
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Gastroenteritis, Headache, Influenza, Malaise, Nausea, Pyrexia

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:
Preexisting Conditions: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3284

Write-up: Gastroenteritis & fever 12 days post inject; Rx w/antibiotics; Had episode of flu-like sz; including fever, malaise, nausea & some headache;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28559&WAYBACKHISTORY=ON

Government Disclaimer on use of this data


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166