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This is VAERS ID 30433

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 30433
VAERS Form:
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: DEAF, GAIT ABNORM, TINNITUS

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 12/8/2009

VAERS ID: 30433 Before After
VAERS Form:
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-16 1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus, DEAF, GAIT ABNORM, TINNITUS

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 8/31/2010

VAERS ID: 30433 Before After
VAERS Form:
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 7/7/2013

VAERS ID: 30433 Before After
VAERS Form:
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / -
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 5/14/2017

VAERS ID: 30433 Before After
VAERS Form:
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 9/14/2017

VAERS ID: 30433 Before After
VAERS Form:(blank) 1
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 2/14/2018

VAERS ID: 30433 Before After
VAERS Form:1
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 6/14/2018

VAERS ID: 30433 Before After
VAERS Form:1
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 8/14/2018

VAERS ID: 30433 Before After
VAERS Form:1
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 9/14/2018

VAERS ID: 30433 Before After
VAERS Form:1
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 10/14/2018

VAERS ID: 30433 Before After
VAERS Form:1
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 12/24/2020

VAERS ID: 30433 Before After
VAERS Form:1
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 12/30/2020

VAERS ID: 30433 Before After
VAERS Form:1
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 5/7/2021

VAERS ID: 30433 Before After
VAERS Form:1
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;


Changed on 5/14/2021

VAERS ID: 30433 Before After
VAERS Form:1
Age:73.0
Sex:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:1990-11-12
Submitted:1991-03-15
Entered:1991-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Deafness, Gait disturbance, Tinnitus

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

Write-up: Experienced hearing loss, & several days after that began to experience both imbalance-room spins when she turns to the lt, & ocean wave type sounds in her lt ear;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=30433&WAYBACKHISTORY=ON

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