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This is VAERS ID 33219

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 33219
VAERS Form:
Age:66.0
Sex:Male
Location:New York
Vaccinated:1990-09-21
Onset:1990-11-18
Submitted:1991-06-20
Entered:1991-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1990-1991 LEDERLE / LEDERLE 287973 / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: CORNEAL LESION

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: Cardizam, tenorim, Isordil
Current Illness: NONE
Preexisting Conditions: Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90
Allergies:
Diagnostic Lab Data: exam by opthalmologist
CDC 'Split Type': Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90

Write-up: pt exp corneal graft reject of rt eye;


Changed on 12/8/2009

VAERS ID: 33219 Before After
VAERS Form:
Age:66.0
Sex:Male
Location:New York
Vaccinated:1990-09-21
Onset:1990-11-18
Submitted:1991-06-20
Entered:1991-08-08 1991-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1990-1991 LEDERLE INFLUENZA (SEASONAL) (FLU-IMUNE 90-91) / LEDERLE LEDERLE LABORATORIES 287973 / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Corneal lesion, CORNEAL LESION

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: Cardizam, tenorim, Isordil
Current Illness: NONE
Preexisting Conditions: Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90
Allergies:
Diagnostic Lab Data: exam by opthalmologist
CDC 'Split Type': Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90 (blank)

Write-up: pt exp corneal graft reject of rt eye;


Changed on 8/31/2010

VAERS ID: 33219 Before After
VAERS Form:
Age:66.0
Sex:Male
Location:New York
Vaccinated:1990-09-21
Onset:1990-11-18
Submitted:1991-06-20
Entered:1991-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLU-IMUNE 90-91) INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 287973 / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Corneal lesion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: Cardizam, tenorim, Isordil
Current Illness: NONE
Preexisting Conditions: Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90
Allergies:
Diagnostic Lab Data: exam by opthalmologist
CDC 'Split Type':

Write-up: pt exp corneal graft reject of rt eye;


Changed on 7/7/2013

VAERS ID: 33219 Before After
VAERS Form:
Age:66.0
Sex:Male
Location:New York
Vaccinated:1990-09-21
Onset:1990-11-18
Submitted:1991-06-20
Entered:1991-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 287973 / 0 LA / -
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 287973 / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Corneal lesion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: Cardizam, tenorim, Isordil
Current Illness: NONE
Preexisting Conditions: Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90
Allergies:
Diagnostic Lab Data: exam by opthalmologist
CDC 'Split Type':

Write-up: pt exp corneal graft reject of rt eye;


Changed on 5/14/2017

VAERS ID: 33219 Before After
VAERS Form:
Age:66.0
Sex:Male
Location:New York
Vaccinated:1990-09-21
Onset:1990-11-18
Submitted:1991-06-20
Entered:1991-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 287973 / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Corneal lesion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: Cardizam, tenorim, Isordil
Current Illness: NONE
Preexisting Conditions: Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90
Allergies:
Diagnostic Lab Data: exam by opthalmologist
CDC 'Split Type':

Write-up: pt exp corneal graft reject of rt eye;


Changed on 9/14/2017

VAERS ID: 33219 Before After
VAERS Form:(blank) 1
Age:66.0
Sex:Male
Location:New York
Vaccinated:1990-09-21
Onset:1990-11-18
Submitted:1991-06-20
Entered:1991-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 287973 / 0 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Corneal lesion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: Cardizam, tenorim, Isordil
Current Illness: NONE
Preexisting Conditions: Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90
Allergies:
Diagnostic Lab Data: exam by opthalmologist
CDC 'Split Type':

Write-up: pt exp corneal graft reject of rt eye;


Changed on 2/14/2018

VAERS ID: 33219 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:New York
Vaccinated:1990-09-21
Onset:1990-11-18
Submitted:1991-06-20
Entered:1991-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 287973 / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Corneal lesion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: Cardizam, tenorim, Isordil
Current Illness: NONE
Preexisting Conditions: Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90
Allergies:
Diagnostic Lab Data: exam by opthalmologist
CDC 'Split Type':

Write-up: pt exp corneal graft reject of rt eye;


Changed on 6/14/2018

VAERS ID: 33219 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:New York
Vaccinated:1990-09-21
Onset:1990-11-18
Submitted:1991-06-20
Entered:1991-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 287973 / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Corneal lesion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: Cardizam, tenorim, Isordil
Current Illness: NONE
Preexisting Conditions: Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90
Allergies:
Diagnostic Lab Data: exam by opthalmologist
CDC 'Split Type':

Write-up: pt exp corneal graft reject of rt eye;


Changed on 8/14/2018

VAERS ID: 33219 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:New York
Vaccinated:1990-09-21
Onset:1990-11-18
Submitted:1991-06-20
Entered:1991-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 287973 / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Corneal lesion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: Cardizam, tenorim, Isordil
Current Illness: NONE
Preexisting Conditions: Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90
Allergies:
Diagnostic Lab Data: exam by opthalmologist
CDC 'Split Type':

Write-up: pt exp corneal graft reject of rt eye;


Changed on 9/14/2018

VAERS ID: 33219 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:New York
Vaccinated:1990-09-21
Onset:1990-11-18
Submitted:1991-06-20
Entered:1991-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 287973 / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Corneal lesion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: Cardizam, tenorim, Isordil
Current Illness: NONE
Preexisting Conditions: Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90
Allergies:
Diagnostic Lab Data: exam by opthalmologist
CDC 'Split Type':

Write-up: pt exp corneal graft reject of rt eye;


Changed on 10/14/2018

VAERS ID: 33219 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:New York
Vaccinated:1990-09-21
Onset:1990-11-18
Submitted:1991-06-20
Entered:1991-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 287973 / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Corneal lesion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: Cardizam, tenorim, Isordil
Current Illness: NONE
Preexisting Conditions: Glaucoma rt eye since 1968; Cataract surgery lens implant; corneal graft rt eye 3JUL90
Allergies:
Diagnostic Lab Data: exam by opthalmologist
CDC 'Split Type':

Write-up: pt exp corneal graft reject of rt eye;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=33219&WAYBACKHISTORY=ON


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