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This is VAERS ID 47268

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 47268
VAERS Form:
Age:82.1
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1992-1993 / WYETH 4928215 / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: INFARCT MYOCARD

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': hx of CAD & chronic debilitation;

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


Changed on 12/8/2009

VAERS ID: 47268 Before After
VAERS Form:
Age:82.1
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-24 1992-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1992-1993 INFLUENZA (SEASONAL) (NO BRAND NAME, 92-93) / WYETH WYETH PHARMACEUTICALS, INC 4928215 / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myocardial infarction, INFARCT MYOCARD

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': hx of CAD & chronic debilitation; (blank)

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


Changed on 8/31/2010

VAERS ID: 47268 Before After
VAERS Form:
Age:82.1
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 92-93) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4928215 / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


Changed on 7/7/2013

VAERS ID: 47268 Before After
VAERS Form:
Age:82.1
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / - LA / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


Changed on 12/14/2016

VAERS ID: 47268 Before After
VAERS Form:
Age:82.1
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / - LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


Changed on 2/14/2017

VAERS ID: 47268 Before After
VAERS Form:
Age:82.1 82.0
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


Changed on 5/14/2017

VAERS ID: 47268 Before After
VAERS Form:
Age:82.0
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA NA~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


Changed on 9/14/2017

VAERS ID: 47268 Before After
VAERS Form:(blank) 1
Age:82.0
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / - UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


Changed on 2/14/2018

VAERS ID: 47268 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


Changed on 6/14/2018

VAERS ID: 47268 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


Changed on 8/14/2018

VAERS ID: 47268 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


Changed on 9/14/2018

VAERS ID: 47268 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


Changed on 10/14/2018

VAERS ID: 47268 Before After
VAERS Form:1
Age:82.0
Sex:Female
Location:Missouri
Vaccinated:1992-10-23
Onset:1992-10-25
Submitted:1992-10-29
Entered:1992-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-25
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: NA~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=47268&WAYBACKHISTORY=ON


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