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This is VAERS ID 48837

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 48837
VAERS Form:
Age:60.1
Sex:Female
Location:Connecticut
Vaccinated:1991-11-06
Onset:1991-11-20
Submitted:1993-01-05
Entered:1993-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1991-1992 EVANS MED & LEDERLE / LEDERLE 312973 / 0 A / IM

Administered by: Public      Purchased by: Unknown
Symptoms: ARTHRALGIA, BRONCHITIS, ARTHROSIS, ARTHRITIS RHEUMAT

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: bone scan & blood test pos;
CDC 'Split Type':

Write-up: bronchitis, inflamed sternum, pains & swelling in joints of hands knees & toes severe rheumatoid arthritis; reaction started p/flu shot;


Changed on 12/8/2009

VAERS ID: 48837 Before After
VAERS Form:
Age:60.1
Sex:Female
Location:Connecticut
Vaccinated:1991-11-06
Onset:1991-11-20
Submitted:1993-01-05
Entered:1993-01-13 1993-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLU-IMUNE 1991-1992 EVANS MED & LEDERLE INFLUENZA (SEASONAL) (FLU-IMUNE 91-92) / LEDERLE LEDERLE LABORATORIES 312973 / 0 A / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Arthralgia, Bronchitis, Osteoarthritis, Rheumatoid arthritis, ARTHRALGIA, BRONCHITIS, ARTHROSIS, ARTHRITIS RHEUMAT

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: bone scan & blood test pos;
CDC 'Split Type':

Write-up: bronchitis, inflamed sternum, pains & swelling in joints of hands knees & toes severe rheumatoid arthritis; reaction started p/flu shot;


Changed on 8/31/2010

VAERS ID: 48837 Before After
VAERS Form:
Age:60.1
Sex:Female
Location:Connecticut
Vaccinated:1991-11-06
Onset:1991-11-20
Submitted:1993-01-05
Entered:1993-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLU-IMUNE 91-92) INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312973 / 0 A / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Arthralgia, Bronchitis, Osteoarthritis, Rheumatoid arthritis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: bone scan & blood test pos;
CDC 'Split Type':

Write-up: bronchitis, inflamed sternum, pains & swelling in joints of hands knees & toes severe rheumatoid arthritis; reaction started p/flu shot;


Changed on 7/7/2013

VAERS ID: 48837 Before After
VAERS Form:
Age:60.1
Sex:Female
Location:Connecticut
Vaccinated:1991-11-06
Onset:1991-11-20
Submitted:1993-01-05
Entered:1993-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312973 / 0 A / IM
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312973 / 0 A / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Arthralgia, Bronchitis, Osteoarthritis, Rheumatoid arthritis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: bone scan & blood test pos;
CDC 'Split Type':

Write-up: bronchitis, inflamed sternum, pains & swelling in joints of hands knees & toes severe rheumatoid arthritis; reaction started p/flu shot;


Changed on 2/14/2017

VAERS ID: 48837 Before After
VAERS Form:
Age:60.1 60.0
Sex:Female
Location:Connecticut
Vaccinated:1991-11-06
Onset:1991-11-20
Submitted:1993-01-05
Entered:1993-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312973 / 0 A / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Arthralgia, Bronchitis, Osteoarthritis, Rheumatoid arthritis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: bone scan & blood test pos;
CDC 'Split Type':

Write-up: bronchitis, inflamed sternum, pains & swelling in joints of hands knees & toes severe rheumatoid arthritis; reaction started p/flu shot;


Changed on 5/14/2017

VAERS ID: 48837 Before After
VAERS Form:
Age:60.0
Sex:Female
Location:Connecticut
Vaccinated:1991-11-06
Onset:1991-11-20
Submitted:1993-01-05
Entered:1993-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312973 / 0 A - / IM IM A

Administered by: Public      Purchased by: Unknown
Symptoms: Arthralgia, Bronchitis, Osteoarthritis, Rheumatoid arthritis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: bone scan & blood test pos;
CDC 'Split Type':

Write-up: bronchitis, inflamed sternum, pains & swelling in joints of hands knees & toes severe rheumatoid arthritis; reaction started p/flu shot;


Changed on 9/14/2017

VAERS ID: 48837 Before After
VAERS Form:(blank) 1
Age:60.0
Sex:Female
Location:Connecticut
Vaccinated:1991-11-06
Onset:1991-11-20
Submitted:1993-01-05
Entered:1993-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312973 / 0 1 - / IM A

Administered by: Public      Purchased by: Unknown
Symptoms: Arthralgia, Bronchitis, Osteoarthritis, Rheumatoid arthritis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: bone scan & blood test pos;
CDC 'Split Type':

Write-up: bronchitis, inflamed sternum, pains & swelling in joints of hands knees & toes severe rheumatoid arthritis; reaction started p/flu shot;


Changed on 2/14/2018

VAERS ID: 48837 Before After
VAERS Form:1
Age:60.0
Sex:Female
Location:Connecticut
Vaccinated:1991-11-06
Onset:1991-11-20
Submitted:1993-01-05
Entered:1993-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312973 / 1 - / IM A

Administered by: Public      Purchased by: Unknown
Symptoms: Arthralgia, Bronchitis, Osteoarthritis, Rheumatoid arthritis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: bone scan & blood test pos;
CDC 'Split Type':

Write-up: bronchitis, inflamed sternum, pains & swelling in joints of hands knees & toes severe rheumatoid arthritis; reaction started p/flu shot;


Changed on 6/14/2018

VAERS ID: 48837 Before After
VAERS Form:1
Age:60.0
Sex:Female
Location:Connecticut
Vaccinated:1991-11-06
Onset:1991-11-20
Submitted:1993-01-05
Entered:1993-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312973 / 1 - / IM A

Administered by: Public      Purchased by: Unknown
Symptoms: Arthralgia, Bronchitis, Osteoarthritis, Rheumatoid arthritis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: bone scan & blood test pos;
CDC 'Split Type':

Write-up: bronchitis, inflamed sternum, pains & swelling in joints of hands knees & toes severe rheumatoid arthritis; reaction started p/flu shot;


Changed on 8/14/2018

VAERS ID: 48837 Before After
VAERS Form:1
Age:60.0
Sex:Female
Location:Connecticut
Vaccinated:1991-11-06
Onset:1991-11-20
Submitted:1993-01-05
Entered:1993-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312973 / 1 - / IM A

Administered by: Public      Purchased by: Unknown
Symptoms: Arthralgia, Bronchitis, Osteoarthritis, Rheumatoid arthritis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: bone scan & blood test pos;
CDC 'Split Type':

Write-up: bronchitis, inflamed sternum, pains & swelling in joints of hands knees & toes severe rheumatoid arthritis; reaction started p/flu shot;


Changed on 9/14/2018

VAERS ID: 48837 Before After
VAERS Form:1
Age:60.0
Sex:Female
Location:Connecticut
Vaccinated:1991-11-06
Onset:1991-11-20
Submitted:1993-01-05
Entered:1993-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312973 / 1 - / IM A

Administered by: Public      Purchased by: Unknown
Symptoms: Arthralgia, Bronchitis, Osteoarthritis, Rheumatoid arthritis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: bone scan & blood test pos;
CDC 'Split Type':

Write-up: bronchitis, inflamed sternum, pains & swelling in joints of hands knees & toes severe rheumatoid arthritis; reaction started p/flu shot;


Changed on 10/14/2018

VAERS ID: 48837 Before After
VAERS Form:1
Age:60.0
Sex:Female
Location:Connecticut
Vaccinated:1991-11-06
Onset:1991-11-20
Submitted:1993-01-05
Entered:1993-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 312973 / 1 - / IM A

Administered by: Public      Purchased by: Unknown
Symptoms: Arthralgia, Bronchitis, Osteoarthritis, Rheumatoid arthritis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: bone scan & blood test pos;
CDC 'Split Type':

Write-up: bronchitis, inflamed sternum, pains & swelling in joints of hands knees & toes severe rheumatoid arthritis; reaction started p/flu shot;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=48837&WAYBACKHISTORY=ON


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