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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 86285 |
VAERS Form: | |
Age: | 71.3 |
Sex: | Male |
Location: | Florida |
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-28 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUSHIELD 1995-1996 / WYETH | - / - | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: INFECT, APNEA, HEART ARREST, COMA, HYPOVENTIL
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-28 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUSHIELD 1995-1996 INFLUENZA (SEASONAL) (FLUSHIELD 95-96) / WYETH WYETH PHARMACEUTICALS, INC | - / - | - / IM |
Administered by: Private Purchased by: Unknown Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock, INFECT, APNEA, HEART ARREST, COMA, HYPOVENTIL
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 95-96) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH | - / - | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / - | - / IM |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / - | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / - | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / - | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / - UNK | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Vaccinated: | 1995-12-18 |
Onset: | 1995-12-19 |
Submitted: | 1996-01-02 |
Entered: | 1996-05-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Coma, Hypoventilation, Infection, Renal failure acute, Sepsis, Shock
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died:1995-12-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: pt recv vax 18DEC95&next day became ill;
Link To This Search Result:
https://medalerts.org/vaersdb/findfield.php?IDNUMBER=86285&WAYBACKHISTORY=ON
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