National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 596955

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2015

VAERS ID: 596955
VAERS Form:
Age:92.0
Gender:Female
Location:Vermont
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-22
Entered:2015-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) / SANOFI PASTEUR UI442AB / - LA / UN

Administered by: Other      Purchased by: Private
Symptoms: Feeling cold, Tremor

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt developed chills, shaking. Brought to ER by daughter.


Changed on 9/14/2017

VAERS ID: 596955 Before After
VAERS Form:(blank) 1
Age:92.0
Gender:Female
Location:Vermont
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-22
Entered:2015-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) / SANOFI PASTEUR UI442AB / - UNK LA / UN

Administered by: Other      Purchased by: Private
Symptoms: Feeling cold, Tremor

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt developed chills, shaking. Brought to ER by daughter.


Changed on 2/14/2018

VAERS ID: 596955 Before After
VAERS Form:1
Age:92.0
Gender:Female
Location:Vermont
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-22
Entered:2015-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) / SANOFI PASTEUR UI442AB / UNK LA / UN

Administered by: Other      Purchased by: Private
Symptoms: Feeling cold, Tremor

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt developed chills, shaking. Brought to ER by daughter.


Changed on 6/14/2018

VAERS ID: 596955 Before After
VAERS Form:1
Age:92.0
Gender:Female
Location:Vermont
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-22
Entered:2015-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) / SANOFI PASTEUR UI442AB / UNK LA / UN

Administered by: Other      Purchased by: Private
Symptoms: Feeling cold, Tremor

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt developed chills, shaking. Brought to ER by daughter.


Changed on 8/14/2018

VAERS ID: 596955 Before After
VAERS Form:1
Age:92.0
Gender:Female
Location:Vermont
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-22
Entered:2015-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) / SANOFI PASTEUR UI442AB / UNK LA / UN

Administered by: Other      Purchased by: Private
Symptoms: Feeling cold, Tremor

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt developed chills, shaking. Brought to ER by daughter.


Changed on 9/14/2018

VAERS ID: 596955 Before After
VAERS Form:1
Age:92.0
Gender:Female
Location:Vermont
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-22
Entered:2015-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) / SANOFI PASTEUR UI442AB / UNK LA / UN

Administered by: Other      Purchased by: Private
Symptoms: Feeling cold, Tremor

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt developed chills, shaking. Brought to ER by daughter.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=596955&WAYBACKHISTORY=ON


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166