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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 28566 |
VAERS Form: | |
Age: | 67.0 |
Sex: | Female |
Location: | California |
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1991-04-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS | 0F11217 / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: FLU SYND
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
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 | 0F11217 / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Influenza, FLU SYND
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
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 | 0F11217 / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Influenza
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0F11217 / - | - / - |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0F11217 / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Influenza
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0F11217 / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Influenza
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0F11217 / - UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Influenza
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0F11217 / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Influenza
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0F11217 / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Influenza
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0F11217 / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Influenza
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0F11217 / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Influenza
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0F11217 / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Influenza
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0F11217 / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Influenza
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1991-02-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES | 0F11217 / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Influenza
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? Yes, days:
Write-up: Flu-like sx; Was hospitalized;
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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28566&WAYBACKHISTORY=ON
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