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This is VAERS ID 27560

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27560
VAERS Form:
Age:52.0
Gender:Female
Location:Oregon
Vaccinated:1990-10-19
Onset:1990-10-19
Submitted:0000-00-00
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS 01970P / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: ASTHMA

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Wheezing & tightness in throat. Took Benedryl & symptoms were relieved.


Changed on 12/8/2009

VAERS ID: 27560 Before After
VAERS Form:
Age:52.0
Gender:Female
Location:Oregon
Vaccinated:1990-10-19
Onset:1990-10-19
Submitted:0000-00-00
Entered:1991-01-29 1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS 01970P / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, ASTHMA

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Wheezing & tightness in throat. Took Benedryl & symptoms were relieved.


Changed on 8/31/2010

VAERS ID: 27560 Before After
VAERS Form:
Age:52.0
Gender:Female
Location:Oregon
Vaccinated:1990-10-19
Onset:1990-10-19
Submitted:0000-00-00
Entered:1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01970P / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Wheezing & tightness in throat. Took Benedryl & symptoms were relieved.


Changed on 7/7/2013

VAERS ID: 27560 Before After
VAERS Form:
Age:52.0
Gender:Female
Location:Oregon
Vaccinated:1990-10-19
Onset:1990-10-19
Submitted:0000-00-00
Entered:1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01970P / - - / IM
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01970P / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Wheezing & tightness in throat. Took Benedryl & symptoms were relieved.


Changed on 5/14/2017

VAERS ID: 27560 Before After
VAERS Form:
Age:52.0
Gender:Female
Location:Oregon
Vaccinated:1990-10-19
Onset:1990-10-19
Submitted:0000-00-00
Entered:1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01970P / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Wheezing & tightness in throat. Took Benedryl & symptoms were relieved.


Changed on 9/14/2017

VAERS ID: 27560 Before After
VAERS Form:(blank) 1
Age:52.0
Gender:Female
Location:Oregon
Vaccinated:1990-10-19
Onset:1990-10-19
Submitted:0000-00-00
Entered:1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01970P / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Wheezing & tightness in throat. Took Benedryl & symptoms were relieved.


Changed on 2/14/2018

VAERS ID: 27560 Before After
VAERS Form:1
Age:52.0
Gender:Female
Location:Oregon
Vaccinated:1990-10-19
Onset:1990-10-19
Submitted:0000-00-00
Entered:1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01970P / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Wheezing & tightness in throat. Took Benedryl & symptoms were relieved.


Changed on 6/14/2018

VAERS ID: 27560 Before After
VAERS Form:1
Age:52.0
Gender:Female
Location:Oregon
Vaccinated:1990-10-19
Onset:1990-10-19
Submitted:0000-00-00
Entered:1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01970P / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Wheezing & tightness in throat. Took Benedryl & symptoms were relieved.


Changed on 8/14/2018

VAERS ID: 27560 Before After
VAERS Form:1
Age:52.0
Gender:Female
Location:Oregon
Vaccinated:1990-10-19
Onset:1990-10-19
Submitted:0000-00-00
Entered:1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01970P / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Wheezing & tightness in throat. Took Benedryl & symptoms were relieved.


Changed on 9/14/2018

VAERS ID: 27560 Before After
VAERS Form:1
Age:52.0
Gender:Female
Location:Oregon
Vaccinated:1990-10-19
Onset:1990-10-19
Submitted:0000-00-00
Entered:1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01970P / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Wheezing & tightness in throat. Took Benedryl & symptoms were relieved.

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