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This is VAERS ID 70576

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 70576
VAERS Form:
Age:76.7
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1995-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908189 / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: REACT UNEVAL

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;


Changed on 12/8/2009

VAERS ID: 70576 Before After
VAERS Form:
Age:76.7
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1995-01-18 1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) / WYETH WYETH PHARMACEUTICALS, INC 4908189 / 0 - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Unevaluable event, REACT UNEVAL

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;


Changed on 8/31/2010

VAERS ID: 70576 Before After
VAERS Form:
Age:76.7
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908189 / 0 - / -

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;


Changed on 7/7/2013

VAERS ID: 70576 Before After
VAERS Form:
Age:76.7
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908189 / 0 - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908189 / 0 - / -

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;


Changed on 12/14/2016

VAERS ID: 70576 Before After
VAERS Form:
Age:76.7
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908189 / 0 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908189 / 0 - / -

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;


Changed on 2/14/2017

VAERS ID: 70576 Before After
VAERS Form:
Age:76.7 76.0
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908189 / 0 - / -

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;


Changed on 5/14/2017

VAERS ID: 70576 Before After
VAERS Form:
Age:76.0
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908189 / 0 - / -

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;


Changed on 9/14/2017

VAERS ID: 70576 Before After
VAERS Form:(blank) 1
Age:76.0
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908189 / 0 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;


Changed on 2/14/2018

VAERS ID: 70576 Before After
VAERS Form:1
Age:76.0
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908189 / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;


Changed on 6/14/2018

VAERS ID: 70576 Before After
VAERS Form:1
Age:76.0
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908189 / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;


Changed on 8/14/2018

VAERS ID: 70576 Before After
VAERS Form:1
Age:76.0
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908189 / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;


Changed on 9/14/2018

VAERS ID: 70576 Before After
VAERS Form:1
Age:76.0
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908189 / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;


Changed on 10/14/2018

VAERS ID: 70576 Before After
VAERS Form:1
Age:76.0
Sex:Male
Location:North Carolina
Vaccinated:1990-10-15
Onset:0000-00-00
Submitted:1990-11-12
Entered:1990-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908189 / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
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: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=70576&WAYBACKHISTORY=ON


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