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This is VAERS ID 94029

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 94029
VAERS Form:
Age:42.6
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 / WYETH 4968205 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, NAUSEA, MALAISE, SGPT INC, SGOT INC

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 12/8/2009

VAERS ID: 94029 Before After
VAERS Form:
Age:42.6
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-02-05 1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1996-1997 INFLUENZA (SEASONAL) (FLUSHIELD 96-97) / WYETH WYETH PHARMACEUTICALS, INC 4968205 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia, FEVER, NAUSEA, MALAISE, SGPT INC, SGOT INC

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 8/31/2010

VAERS ID: 94029 Before After
VAERS Form:
Age:42.6
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 96-97) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4968205 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 7/7/2013

VAERS ID: 94029 Before After
VAERS Form:
Age:42.6
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 2/14/2017

VAERS ID: 94029 Before After
VAERS Form:
Age:42.6 42.0
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 5/14/2017

VAERS ID: 94029 Before After
VAERS Form:
Age:42.0
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 9/14/2017

VAERS ID: 94029 Before After
VAERS Form:(blank) 1
Age:42.0
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 2/14/2018

VAERS ID: 94029 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 6/14/2018

VAERS ID: 94029 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 8/14/2018

VAERS ID: 94029 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 9/14/2018

VAERS ID: 94029 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 10/14/2018

VAERS ID: 94029 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 12/24/2020

VAERS ID: 94029 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 12/30/2020

VAERS ID: 94029 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 5/7/2021

VAERS ID: 94029 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


Changed on 5/14/2021

VAERS ID: 94029 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New York
Vaccinated:1996-10-17
Onset:1996-10-17
Submitted:1996-11-20
Entered:1997-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia

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: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC 'Split Type':

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;

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