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This is VAERS ID 27291

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27291
VAERS Form:
Age:68.6
Gender:Male
Location:Ohio
Vaccinated:1990-11-01
Onset:1990-11-01
Submitted:1990-11-17
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11222 / - LA / -

Administered by: Public      Purchased by: Unknown
Symptoms: ASTHMA, PHARYNGITIS, NECK RIGID, BRONCHITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).


Changed on 12/8/2009

VAERS ID: 27291 Before After
VAERS Form:
Age:68.6
Gender:Male
Location:Ohio
Vaccinated:1990-11-01
Onset:1990-11-01
Submitted:1990-11-17
Entered:1991-01-08 1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 90-91) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0F11222 / - LA / -

Administered by: Public      Purchased by: Unknown Private
Symptoms: Asthma, Bronchitis, Pharyngitis, Nuchal rigidity, ASTHMA, PHARYNGITIS, NECK RIGID, BRONCHITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) OH9056

Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).


Changed on 8/31/2010

VAERS ID: 27291 Before After
VAERS Form:
Age:68.6
Gender:Male
Location:Ohio
Vaccinated:1990-11-01
Onset:1990-11-01
Submitted:1990-11-17
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 90-91) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - LA / -

Administered by: Public      Purchased by: Private
Symptoms: Asthma, Bronchitis, Pharyngitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9056

Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).


Changed on 7/7/2013

VAERS ID: 27291 Before After
VAERS Form:
Age:68.6
Gender:Male
Location:Ohio
Vaccinated:1990-11-01
Onset:1990-11-01
Submitted:1990-11-17
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - LA / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - LA / -

Administered by: Public      Purchased by: Private
Symptoms: Asthma, Bronchitis, Pharyngitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9056

Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).


Changed on 2/14/2017

VAERS ID: 27291 Before After
VAERS Form:
Age:68.6 68.0
Gender:Male
Location:Ohio
Vaccinated:1990-11-01
Onset:1990-11-01
Submitted:1990-11-17
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - LA / -

Administered by: Public      Purchased by: Private
Symptoms: Asthma, Bronchitis, Pharyngitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9056

Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).


Changed on 5/14/2017

VAERS ID: 27291 Before After
VAERS Form:
Age:68.0
Gender:Male
Location:Ohio
Vaccinated:1990-11-01
Onset:1990-11-01
Submitted:1990-11-17
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - LA / -

Administered by: Public      Purchased by: Private
Symptoms: Asthma, Bronchitis, Pharyngitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9056

Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).


Changed on 9/14/2017

VAERS ID: 27291 Before After
VAERS Form:(blank) 1
Age:68.0
Gender:Male
Location:Ohio
Vaccinated:1990-11-01
Onset:1990-11-01
Submitted:1990-11-17
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / - UNK LA / -

Administered by: Public      Purchased by: Private
Symptoms: Asthma, Bronchitis, Pharyngitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9056

Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).


Changed on 2/14/2018

VAERS ID: 27291 Before After
VAERS Form:1
Age:68.0
Gender:Male
Location:Ohio
Vaccinated:1990-11-01
Onset:1990-11-01
Submitted:1990-11-17
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Private
Symptoms: Asthma, Bronchitis, Pharyngitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9056

Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).


Changed on 6/14/2018

VAERS ID: 27291 Before After
VAERS Form:1
Age:68.0
Gender:Male
Location:Ohio
Vaccinated:1990-11-01
Onset:1990-11-01
Submitted:1990-11-17
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Private
Symptoms: Asthma, Bronchitis, Pharyngitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9056

Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).


Changed on 8/14/2018

VAERS ID: 27291 Before After
VAERS Form:1
Age:68.0
Gender:Male
Location:Ohio
Vaccinated:1990-11-01
Onset:1990-11-01
Submitted:1990-11-17
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Private
Symptoms: Asthma, Bronchitis, Pharyngitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9056

Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).


Changed on 9/14/2018

VAERS ID: 27291 Before After
VAERS Form:1
Age:68.0
Gender:Male
Location:Ohio
Vaccinated:1990-11-01
Onset:1990-11-01
Submitted:1990-11-17
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public      Purchased by: Private
Symptoms: Asthma, Bronchitis, Pharyngitis, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9056

Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=27291&WAYBACKHISTORY=ON


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