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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 36486 |
VAERS Form: | |
Age: | 78.7 |
Sex: | Female |
Location: | California |
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA VACCINE 1991-1992 / WYETH | 4918170 / - | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: HYPOKINESIA, DIZZINESS, INFECT, MYALGIA, LUNG DIS
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-25 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA VACCINE 1991-1992 INFLUENZA (SEASONAL) (NO BRAND NAME, 91-92) / WYETH WYETH PHARMACEUTICALS, INC | 4918170 / - | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, Vomiting, HYPOKINESIA, DIZZINESS, INFECT, MYALGIA, LUNG DIS
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 91-92) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH | 4918170 / - | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / - | - / - |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / - | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / - | - / - |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / - | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / - | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / - | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / - UNK | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / UNK | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / UNK | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / UNK | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / UNK | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / UNK | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / UNK | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
Vaccinated: | 1991-10-10 |
Onset: | 1991-10-11 |
Submitted: | 0000-00-00 |
Entered: | 1991-11-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | 4918170 / UNK | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: Dizziness, Hypokinesia, Infection, Lung disorder, Myalgia, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
Write-up: At about MN, dizzy, unable to stand, vomiting; Ambulance transported pt to Hosp; treated w/IV ATB x 5 days, discharged on po ATB; no fever or cold sx; myalgia;
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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=36486&WAYBACKHISTORY=ON
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