National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 90835

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 90835
VAERS Form:
Age:27.2
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1995-1996 / PARKE-DAVIS 00295P / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: INFECT, DYSPNEA, FLU SYND, PNEUMONIA, SARCOIDOSIS

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type': NONE

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 12/8/2009

VAERS ID: 90835 Before After
VAERS Form:
Age:27.2
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-23 1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1995-1996 INFLUENZA (SEASONAL) (FLUOGEN 95-96) / PARKE-DAVIS 00295P / 0 RA / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis, INFECT, DYSPNEA, FLU SYND, PNEUMONIA, SARCOIDOSIS

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type': NONE (blank)

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 8/31/2010

VAERS ID: 90835 Before After
VAERS Form:
Age:27.2
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 95-96) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 0 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 7/7/2013

VAERS ID: 90835 Before After
VAERS Form:
Age:27.2
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 0 RA / -
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 0 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 2/14/2017

VAERS ID: 90835 Before After
VAERS Form:
Age:27.2 27.0
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 0 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 5/14/2017

VAERS ID: 90835 Before After
VAERS Form:
Age:27.0
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 0 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 9/14/2017

VAERS ID: 90835 Before After
VAERS Form:(blank) 1
Age:27.0
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 0 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 2/14/2018

VAERS ID: 90835 Before After
VAERS Form:1
Age:27.0
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 6/14/2018

VAERS ID: 90835 Before After
VAERS Form:1
Age:27.0
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 8/14/2018

VAERS ID: 90835 Before After
VAERS Form:1
Age:27.0
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 9/14/2018

VAERS ID: 90835 Before After
VAERS Form:1
Age:27.0
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 10/14/2018

VAERS ID: 90835 Before After
VAERS Form:1
Age:27.0
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 12/24/2020

VAERS ID: 90835 Before After
VAERS Form:1
Age:27.0
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 12/30/2020

VAERS ID: 90835 Before After
VAERS Form:1
Age:27.0
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 5/7/2021

VAERS ID: 90835 Before After
VAERS Form:1
Age:27.0
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


Changed on 5/14/2021

VAERS ID: 90835 Before After
VAERS Form:1
Age:27.0
Sex:Male
Location:Alabama
Vaccinated:1995-10-17
Onset:1995-10-20
Submitted:1996-09-30
Entered:1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC 'Split Type':

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=90835&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166