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This is VAERS ID 29956

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29956
VAERS Form:
Age:59.9
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908204 / 0 LA / -
PPV: PNU-IMUNE(R)23 / LEDERLE 285909 / 0 RA / -

Administered by: Public      Purchased by: Unknown
Symptoms: HYSN INJECT SITE, LYMPHADENO

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 12/8/2009

VAERS ID: 29956 Before After
VAERS Form:
Age:59.9
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-23 1991-04-18
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 4908204 / 0 LA / -
PPV: PNU-IMUNE(R)23 PNEUMO (PNU-IMUNE) / LEDERLE LEDERLE LABORATORIES 285909 / 0 RA / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy, HYSN INJECT SITE, LYMPHADENO

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': (blank) CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 8/31/2010

VAERS ID: 29956 Before After
VAERS Form:
Age:59.9
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908204 / 0 LA / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 285909 / 0 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 7/7/2013

VAERS ID: 29956 Before After
VAERS Form:
Age:59.9
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 0 LA / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 0 LA / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 285909 / 0 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 12/14/2016

VAERS ID: 29956 Before After
VAERS Form:
Age:59.9
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 0 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 0 LA / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 285909 / 0 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 2/14/2017

VAERS ID: 29956 Before After
VAERS Form:
Age:59.9 59.0
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 0 LA / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 285909 / 0 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 5/14/2017

VAERS ID: 29956 Before After
VAERS Form:
Age:59.0
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 0 LA / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 285909 / 0 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 9/14/2017

VAERS ID: 29956 Before After
VAERS Form:(blank) 1
Age:59.0
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 0 1 LA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 0 1 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 2/14/2018

VAERS ID: 29956 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 1 LA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 6/14/2018

VAERS ID: 29956 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 1 LA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 8/14/2018

VAERS ID: 29956 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 1 LA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 9/14/2018

VAERS ID: 29956 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 1 LA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 10/14/2018

VAERS ID: 29956 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 1 LA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 12/24/2020

VAERS ID: 29956 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 1 LA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 12/30/2020

VAERS ID: 29956 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 1 LA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 5/7/2021

VAERS ID: 29956 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 1 LA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


Changed on 5/14/2021

VAERS ID: 29956 Before After
VAERS Form:1
Age:59.0
Sex:Female
Location:California
Vaccinated:1990-11-19
Onset:1990-11-20
Submitted:1990-11-26
Entered:1991-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 1 LA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / -

Administered by: Public      Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=29956&WAYBACKHISTORY=ON

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