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This is VAERS ID 30870

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 30870
VAERS Form:
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1990-1991 LEDERLE / LEDERLE - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: DIZZINESS, VOMIT

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 12/8/2009

VAERS ID: 30870 Before After
VAERS Form:
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-06-03 1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1990-1991 LEDERLE INFLUENZA (SEASONAL) (FLU-IMUNE 90-91) / LEDERLE LEDERLE LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting, DIZZINESS, VOMIT

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': (blank) 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 8/31/2010

VAERS ID: 30870 Before After
VAERS Form:
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLU-IMUNE 90-91) INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 7/7/2013

VAERS ID: 30870 Before After
VAERS Form:
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - - / -
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 5/14/2017

VAERS ID: 30870 Before After
VAERS Form:
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 9/14/2017

VAERS ID: 30870 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 2/14/2018

VAERS ID: 30870 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 6/14/2018

VAERS ID: 30870 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 8/14/2018

VAERS ID: 30870 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 9/14/2018

VAERS ID: 30870 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 10/14/2018

VAERS ID: 30870 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 12/24/2020

VAERS ID: 30870 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 12/30/2020

VAERS ID: 30870 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 5/7/2021

VAERS ID: 30870 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


Changed on 5/14/2021

VAERS ID: 30870 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:New York
Vaccinated:1990-11-12
Onset:1990-11-14
Submitted:0000-00-00
Entered:1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Vomiting

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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;

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