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This is VAERS ID 29869

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29869
VAERS Form:
Age:58.7
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11227 / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: EDEMA, PAIN

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: NONE
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': NONE

Write-up: Extreme swelling & pain approx 3-4"" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 12/8/2009

VAERS ID: 29869 Before After
VAERS Form:
Age:58.7
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-17 1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0F11227 / 0 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Oedema, Pain, EDEMA, PAIN

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: NONE
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': NONE OK9113

Write-up: Extreme swelling & pain approx 3-4"" 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 8/31/2010

VAERS ID: 29869 Before After
VAERS Form:
Age:58.7
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 7/7/2013

VAERS ID: 29869 Before After
VAERS Form:
Age:58.7
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 0 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 2/14/2017

VAERS ID: 29869 Before After
VAERS Form:
Age:58.7 58.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 5/14/2017

VAERS ID: 29869 Before After
VAERS Form:
Age:58.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 9/14/2017

VAERS ID: 29869 Before After
VAERS Form:(blank) 1
Age:58.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 0 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 2/14/2018

VAERS ID: 29869 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 6/14/2018

VAERS ID: 29869 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 8/14/2018

VAERS ID: 29869 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 9/14/2018

VAERS ID: 29869 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 10/14/2018

VAERS ID: 29869 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 12/24/2020

VAERS ID: 29869 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 12/30/2020

VAERS ID: 29869 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 5/7/2021

VAERS ID: 29869 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


Changed on 5/14/2021

VAERS ID: 29869 Before After
VAERS Form:1
Age:58.0
Sex:Female
Location:Oklahoma
Vaccinated:1990-11-02
Onset:1990-11-02
Submitted:1991-01-17
Entered:1991-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Oedema, Pain

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=29869&WAYBACKHISTORY=ON

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