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This is VAERS ID 49288

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 49288
VAERS Form:
Age:37.1
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1992-1993 / WYETH 4928166 / - LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: PURPURA, PETECHIA, PURPURA THROMBOPEN, HEM GUM, EPISTAXIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type': allergy-poison ivy, medical condition-vitiligo

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


Changed on 12/8/2009

VAERS ID: 49288 Before After
VAERS Form:
Age:37.1
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-26 1993-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1992-1993 INFLUENZA (SEASONAL) (NO BRAND NAME, 92-93) / WYETH WYETH PHARMACEUTICALS, INC 4928166 / - LA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura, PURPURA, PETECHIA, PURPURA THROMBOPEN, HEM GUM, EPISTAXIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type': allergy-poison ivy, medical condition-vitiligo (blank)

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


Changed on 8/31/2010

VAERS ID: 49288 Before After
VAERS Form:
Age:37.1
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 92-93) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4928166 / - LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type':

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


Changed on 7/7/2013

VAERS ID: 49288 Before After
VAERS Form:
Age:37.1
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / - LA / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / - LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type':

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


Changed on 12/14/2016

VAERS ID: 49288 Before After
VAERS Form:
Age:37.1
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / - LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / - LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type':

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


Changed on 2/14/2017

VAERS ID: 49288 Before After
VAERS Form:
Age:37.1 37.0
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / - LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type':

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


Changed on 5/14/2017

VAERS ID: 49288 Before After
VAERS Form:
Age:37.0
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / - LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type':

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


Changed on 9/14/2017

VAERS ID: 49288 Before After
VAERS Form:(blank) 1
Age:37.0
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / - UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type':

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


Changed on 2/14/2018

VAERS ID: 49288 Before After
VAERS Form:1
Age:37.0
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type':

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


Changed on 6/14/2018

VAERS ID: 49288 Before After
VAERS Form:1
Age:37.0
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type':

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


Changed on 8/14/2018

VAERS ID: 49288 Before After
VAERS Form:1
Age:37.0
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type':

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


Changed on 9/14/2018

VAERS ID: 49288 Before After
VAERS Form:1
Age:37.0
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type':

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


Changed on 10/14/2018

VAERS ID: 49288 Before After
VAERS Form:1
Age:37.0
Sex:Male
Location:Tennessee
Vaccinated:1992-11-04
Onset:1992-11-25
Submitted:1993-01-12
Entered:1993-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC 'Split Type':

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;

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