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This is VAERS ID 30333

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 30333
VAERS Form:
Age:35.3
Sex:Female
Location:D.C.
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0J11031 / - - / IM

Administered by: Military      Purchased by: Unknown
Symptoms: URTICARIA, PRURITUS

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 12/8/2009

VAERS ID: 30333 Before After
VAERS Form:
Age:35.3
Sex:Female
Location:D.C.
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-13 1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0J11031 / - - / IM

Administered by: Military      Purchased by: Unknown Military
Symptoms: Pruritus, Urticaria, URTICARIA, PRURITUS

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 8/31/2010

VAERS ID: 30333 Before After
VAERS Form:
Age:35.3
Sex:Female
Location:D.C.
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / - - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 7/7/2013

VAERS ID: 30333 Before After
VAERS Form:
Age:35.3
Sex:Female
Location:D.C.
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / - - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 2/14/2017

VAERS ID: 30333 Before After
VAERS Form:
Age:35.3 35.0
Sex:Female
Location:D.C.
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / - - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 5/14/2017

VAERS ID: 30333 Before After
VAERS Form:
Age:35.0
Sex:Female
Location:D.C.
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / - - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 9/14/2017

VAERS ID: 30333 Before After
VAERS Form:(blank) 1
Age:35.0
Sex:Female
Location:D.C.
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / - UNK - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 2/14/2018

VAERS ID: 30333 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:D.C.
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / UNK - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 6/14/2018

VAERS ID: 30333 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:D.C.
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / UNK - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 8/14/2018

VAERS ID: 30333 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:D.C.
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / UNK - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 9/14/2018

VAERS ID: 30333 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:D.C.
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / UNK - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 10/14/2018

VAERS ID: 30333 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:D.C.
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / UNK - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 12/10/2020

VAERS ID: 30333 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:D.C. Maryland
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / UNK - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 12/24/2020

VAERS ID: 30333 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Maryland
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / UNK - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 12/30/2020

VAERS ID: 30333 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Maryland
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / UNK - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 5/7/2021

VAERS ID: 30333 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Maryland
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / UNK - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


Changed on 5/14/2021

VAERS ID: 30333 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Maryland
Vaccinated:1990-11-23
Onset:1990-11-23
Submitted:1991-04-26
Entered:1991-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / UNK - / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Urticaria

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

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=30333&WAYBACKHISTORY=ON

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