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This is VAERS ID 68772

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 68772
VAERS Form:
Age:79.8
Sex:Female
Location:Unknown
Vaccinated:1994-10-08
Onset:1994-10-08
Submitted:1994-10-27
Entered:1994-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: MYALGIA, EDEMA PERIPH, VASODILAT

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; day following inject of flu, lt upper arm became extremely sore, swollen & red; swelling extended down to wrist;


Changed on 12/8/2009

VAERS ID: 68772 Before After
VAERS Form:
Age:79.8
Sex:Female
Location:Unknown
Vaccinated:1994-10-08
Onset:1994-10-08
Submitted:1994-10-27
Entered:1994-11-29 1994-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myalgia, Oedema peripheral, Vasodilatation, MYALGIA, EDEMA PERIPH, VASODILAT

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; day following inject of flu, lt upper arm became extremely sore, swollen & red; swelling extended down to wrist;


Changed on 7/7/2013

VAERS ID: 68772 Before After
VAERS Form:
Age:79.8
Sex:Female
Location:Unknown
Vaccinated:1994-10-08
Onset:1994-10-08
Submitted:1994-10-27
Entered:1994-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myalgia, Oedema peripheral, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; day following inject of flu, lt upper arm became extremely sore, swollen & red; swelling extended down to wrist;


Changed on 12/14/2016

VAERS ID: 68772 Before After
VAERS Form:
Age:79.8
Sex:Female
Location:Unknown
Vaccinated:1994-10-08
Onset:1994-10-08
Submitted:1994-10-27
Entered:1994-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myalgia, Oedema peripheral, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; day following inject of flu, lt upper arm became extremely sore, swollen & red; swelling extended down to wrist;


Changed on 2/14/2017

VAERS ID: 68772 Before After
VAERS Form:
Age:79.8 79.0
Sex:Female
Location:Unknown
Vaccinated:1994-10-08
Onset:1994-10-08
Submitted:1994-10-27
Entered:1994-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myalgia, Oedema peripheral, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; day following inject of flu, lt upper arm became extremely sore, swollen & red; swelling extended down to wrist;


Changed on 5/14/2017

VAERS ID: 68772 Before After
VAERS Form:
Age:79.0
Sex:Female
Location:Unknown
Vaccinated:1994-10-08
Onset:1994-10-08
Submitted:1994-10-27
Entered:1994-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myalgia, Oedema peripheral, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; day following inject of flu, lt upper arm became extremely sore, swollen & red; swelling extended down to wrist;


Changed on 9/14/2017

VAERS ID: 68772 Before After
VAERS Form:(blank) 1
Age:79.0
Sex:Female
Location:Unknown
Vaccinated:1994-10-08
Onset:1994-10-08
Submitted:1994-10-27
Entered:1994-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myalgia, Oedema peripheral, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; day following inject of flu, lt upper arm became extremely sore, swollen & red; swelling extended down to wrist;


Changed on 2/14/2018

VAERS ID: 68772 Before After
VAERS Form:1
Age:79.0
Sex:Female
Location:Unknown
Vaccinated:1994-10-08
Onset:1994-10-08
Submitted:1994-10-27
Entered:1994-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myalgia, Oedema peripheral, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; day following inject of flu, lt upper arm became extremely sore, swollen & red; swelling extended down to wrist;


Changed on 6/14/2018

VAERS ID: 68772 Before After
VAERS Form:1
Age:79.0
Sex:Female
Location:Unknown
Vaccinated:1994-10-08
Onset:1994-10-08
Submitted:1994-10-27
Entered:1994-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myalgia, Oedema peripheral, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; day following inject of flu, lt upper arm became extremely sore, swollen & red; swelling extended down to wrist;


Changed on 8/14/2018

VAERS ID: 68772 Before After
VAERS Form:1
Age:79.0
Sex:Female
Location:Unknown
Vaccinated:1994-10-08
Onset:1994-10-08
Submitted:1994-10-27
Entered:1994-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myalgia, Oedema peripheral, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; day following inject of flu, lt upper arm became extremely sore, swollen & red; swelling extended down to wrist;


Changed on 9/14/2018

VAERS ID: 68772 Before After
VAERS Form:1
Age:79.0
Sex:Female
Location:Unknown
Vaccinated:1994-10-08
Onset:1994-10-08
Submitted:1994-10-27
Entered:1994-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myalgia, Oedema peripheral, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; day following inject of flu, lt upper arm became extremely sore, swollen & red; swelling extended down to wrist;


Changed on 10/14/2018

VAERS ID: 68772 Before After
VAERS Form:1
Age:79.0
Sex:Female
Location:Unknown
Vaccinated:1994-10-08
Onset:1994-10-08
Submitted:1994-10-27
Entered:1994-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myalgia, Oedema peripheral, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; day following inject of flu, lt upper arm became extremely sore, swollen & red; swelling extended down to wrist;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=68772&WAYBACKHISTORY=ON


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