National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 28570

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 28570
VAERS Form:
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
Submitted:0000-00-00
Entered:1991-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: HALLUCIN, DREAM ABNORM

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 12/8/2009

VAERS ID: 28570 Before After
VAERS Form:
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
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: Private      Purchased by: Unknown Private
Symptoms: Abnormal dreams, Hallucination, HALLUCIN, DREAM ABNORM

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 8/31/2010

VAERS ID: 28570 Before After
VAERS Form:
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
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: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 7/7/2013

VAERS ID: 28570 Before After
VAERS Form:
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
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: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 5/14/2017

VAERS ID: 28570 Before After
VAERS Form:
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 9/14/2017

VAERS ID: 28570 Before After
VAERS Form:(blank) 1
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 2/14/2018

VAERS ID: 28570 Before After
VAERS Form:1
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 6/14/2018

VAERS ID: 28570 Before After
VAERS Form:1
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 8/14/2018

VAERS ID: 28570 Before After
VAERS Form:1
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 9/14/2018

VAERS ID: 28570 Before After
VAERS Form:1
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 10/14/2018

VAERS ID: 28570 Before After
VAERS Form:1
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 12/24/2020

VAERS ID: 28570 Before After
VAERS Form:1
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 12/30/2020

VAERS ID: 28570 Before After
VAERS Form:1
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 5/7/2021

VAERS ID: 28570 Before After
VAERS Form:1
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;


Changed on 5/14/2021

VAERS ID: 28570 Before After
VAERS Form:1
Age:8.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:1990-11-21
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Abnormal dreams, Hallucination

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: asthmatic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO3716

Write-up: Hallucinations & night terrors in asthmatic;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28570&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