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This is VAERS ID 29149

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29149
VAERS Form:
Age:47.9
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908211 / 1 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: NAUSEA, RHINITIS, PAIN CHEST, COUGH INC

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: In pt; chills, nausea; 35yo; influenza; #1
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': thyroid condition, previous histoplasmosis; no egg allergy

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 12/8/2009

VAERS ID: 29149 Before After
VAERS Form:
Age:47.9
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-19 1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) / WYETH WYETH PHARMACEUTICALS, INC 4908211 / 1 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis, NAUSEA, RHINITIS, PAIN CHEST, COUGH INC

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: In pt; chills, nausea; 35yo; influenza; #1
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': thyroid condition, previous histoplasmosis; no egg allergy MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 8/31/2010

VAERS ID: 29149 Before After
VAERS Form:
Age:47.9
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908211 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 7/7/2013

VAERS ID: 29149 Before After
VAERS Form:
Age:47.9
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 1 LA / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 12/14/2016

VAERS ID: 29149 Before After
VAERS Form:
Age:47.9
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 2/14/2017

VAERS ID: 29149 Before After
VAERS Form:
Age:47.9 47.0
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 5/14/2017

VAERS ID: 29149 Before After
VAERS Form:
Age:47.0
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1 #1~ ()~~~In patient
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 9/14/2017

VAERS ID: 29149 Before After
VAERS Form:(blank) 1
Age:47.0
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 1 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1~ ()~~~In patient
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 2/14/2018

VAERS ID: 29149 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1~ ()~~~In patient
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 6/14/2018

VAERS ID: 29149 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1~ ()~~~In patient
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 8/14/2018

VAERS ID: 29149 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1~ ()~~~In patient
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 9/14/2018

VAERS ID: 29149 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1~ ()~~~In patient
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 10/14/2018

VAERS ID: 29149 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1~ ()~~~In patient
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 12/24/2020

VAERS ID: 29149 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1~ ()~~~In patient
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 12/30/2020

VAERS ID: 29149 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1~ ()~~~In patient
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 5/7/2021

VAERS ID: 29149 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1~ ()~~~In patient
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.


Changed on 5/14/2021

VAERS ID: 29149 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Minnesota
Vaccinated:1990-10-26
Onset:1990-10-26
Submitted:1990-11-28
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908211 / 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain, Cough, Nausea, Rhinitis

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: In pt; chills, nausea; 35yo; influenza; #1~ ()~~~In patient
Other Medications: Synthroid
Current Illness: headache, sinus problem
Preexisting Conditions: thyroid condition, previous histoplasmosis; no egg allergy
Allergies:
Diagnostic Lab Data: MD did throat culture, CBC
CDC 'Split Type': MN90001

Write-up: Tightness in chest 10 min p/immun, lasted few min; nausea 90 min; congestion, cough 3 days; pt says still has nausea, cough, & congestion 4 1/2 wks later. No tx initiated @ either of 2 MD visits.

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