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This is VAERS ID 48415

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 48415
VAERS Form:
Age:77.4
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1993-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1992-1993 / WYETH 4928243 / 2 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: NAUSEA, CARDIOVASC DIS, SHOCK, INFARCT MYOCARD

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


Changed on 12/8/2009

VAERS ID: 48415 Before After
VAERS Form:
Age:77.4
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1993-01-04 1992-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1992-1993 INFLUENZA (SEASONAL) (NO BRAND NAME, 92-93) / WYETH WYETH PHARMACEUTICALS, INC 4928243 / 2 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock, NAUSEA, CARDIOVASC DIS, SHOCK, INFARCT MYOCARD

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


Changed on 8/31/2010

VAERS ID: 48415 Before After
VAERS Form:
Age:77.4
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1992-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 92-93) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4928243 / 2 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


Changed on 7/7/2013

VAERS ID: 48415 Before After
VAERS Form:
Age:77.4
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1992-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 2 LA / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 2 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


Changed on 12/14/2016

VAERS ID: 48415 Before After
VAERS Form:
Age:77.4
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1992-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 2 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 2 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


Changed on 2/14/2017

VAERS ID: 48415 Before After
VAERS Form:
Age:77.4 77.0
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1992-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 2 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


Changed on 5/14/2017

VAERS ID: 48415 Before After
VAERS Form:
Age:77.0
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1992-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 2 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


Changed on 9/14/2017

VAERS ID: 48415 Before After
VAERS Form:(blank) 1
Age:77.0
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1992-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 2 3 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


Changed on 2/14/2018

VAERS ID: 48415 Before After
VAERS Form:1
Age:77.0
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1992-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 3 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


Changed on 6/14/2018

VAERS ID: 48415 Before After
VAERS Form:1
Age:77.0
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1992-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 3 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


Changed on 8/14/2018

VAERS ID: 48415 Before After
VAERS Form:1
Age:77.0
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1992-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 3 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


Changed on 9/14/2018

VAERS ID: 48415 Before After
VAERS Form:1
Age:77.0
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1992-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 3 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


Changed on 10/14/2018

VAERS ID: 48415 Before After
VAERS Form:1
Age:77.0
Sex:Female
Location:Georgia
Vaccinated:1992-10-08
Onset:1992-10-12
Submitted:1992-10-15
Entered:1992-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 3 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-10-12
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: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=48415&WAYBACKHISTORY=ON


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