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This is VAERS ID 36599

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 36599
VAERS Form:
Age:42.9
Gender:Female
Location:Colorado
Vaccinated:1991-10-23
Onset:1991-10-23
Submitted:1991-11-20
Entered:1991-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1991-1992 / CONNAUGHT LABS 1J21108 / 0 LA / -

Administered by: Public      Purchased by: Unknown
Symptoms: DYSPNEA, ASTHMA

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:
Current Illness:
Preexisting Conditions: asthma-(occasional bronchial inhaler)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Loss of breath to the point it became almost like an asthma attack; oxygen & epinepherin required;


Changed on 12/8/2009

VAERS ID: 36599 Before After
VAERS Form:
Age:42.9
Gender:Female
Location:Colorado
Vaccinated:1991-10-23
Onset:1991-10-23
Submitted:1991-11-20
Entered:1991-12-02 1991-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1991-1992 INFLUENZA (SEASONAL) (FLUZONE 91-92) / CONNAUGHT LABS CONNAUGHT LABORATORIES 1J21108 / 0 LA / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Asthma, Dyspnoea, DYSPNEA, ASTHMA

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:
Current Illness:
Preexisting Conditions: asthma-(occasional bronchial inhaler)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) SC9191

Write-up: Loss of breath to the point it became almost like an asthma attack; oxygen & epinepherin required;


Changed on 8/31/2010

VAERS ID: 36599 Before After
VAERS Form:
Age:42.9
Gender:Female
Location:Colorado
Vaccinated:1991-10-23
Onset:1991-10-23
Submitted:1991-11-20
Entered:1991-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 91-92) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21108 / 0 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Asthma, Dyspnoea

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:
Current Illness:
Preexisting Conditions: asthma-(occasional bronchial inhaler)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC9191

Write-up: Loss of breath to the point it became almost like an asthma attack; oxygen & epinepherin required;


Changed on 7/7/2013

VAERS ID: 36599 Before After
VAERS Form:
Age:42.9
Gender:Female
Location:Colorado
Vaccinated:1991-10-23
Onset:1991-10-23
Submitted:1991-11-20
Entered:1991-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21108 / 0 LA / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21108 / 0 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Asthma, Dyspnoea

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:
Current Illness:
Preexisting Conditions: asthma-(occasional bronchial inhaler)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC9191

Write-up: Loss of breath to the point it became almost like an asthma attack; oxygen & epinepherin required;


Changed on 2/14/2017

VAERS ID: 36599 Before After
VAERS Form:
Age:42.9 42.0
Gender:Female
Location:Colorado
Vaccinated:1991-10-23
Onset:1991-10-23
Submitted:1991-11-20
Entered:1991-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21108 / 0 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Asthma, Dyspnoea

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:
Current Illness:
Preexisting Conditions: asthma-(occasional bronchial inhaler)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC9191

Write-up: Loss of breath to the point it became almost like an asthma attack; oxygen & epinepherin required;


Changed on 5/14/2017

VAERS ID: 36599 Before After
VAERS Form:
Age:42.0
Gender:Female
Location:Colorado
Vaccinated:1991-10-23
Onset:1991-10-23
Submitted:1991-11-20
Entered:1991-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21108 / 0 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Asthma, Dyspnoea

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:
Current Illness:
Preexisting Conditions: asthma-(occasional bronchial inhaler)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC9191

Write-up: Loss of breath to the point it became almost like an asthma attack; oxygen & epinepherin required;


Changed on 9/14/2017

VAERS ID: 36599 Before After
VAERS Form:(blank) 1
Age:42.0
Gender:Female
Location:Colorado
Vaccinated:1991-10-23
Onset:1991-10-23
Submitted:1991-11-20
Entered:1991-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21108 / 0 1 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Asthma, Dyspnoea

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:
Current Illness:
Preexisting Conditions: asthma-(occasional bronchial inhaler)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC9191

Write-up: Loss of breath to the point it became almost like an asthma attack; oxygen & epinepherin required;


Changed on 2/14/2018

VAERS ID: 36599 Before After
VAERS Form:1
Age:42.0
Gender:Female
Location:Colorado
Vaccinated:1991-10-23
Onset:1991-10-23
Submitted:1991-11-20
Entered:1991-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21108 / 1 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Asthma, Dyspnoea

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:
Current Illness:
Preexisting Conditions: asthma-(occasional bronchial inhaler)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC9191

Write-up: Loss of breath to the point it became almost like an asthma attack; oxygen & epinepherin required;


Changed on 6/14/2018

VAERS ID: 36599 Before After
VAERS Form:1
Age:42.0
Gender:Female
Location:Colorado
Vaccinated:1991-10-23
Onset:1991-10-23
Submitted:1991-11-20
Entered:1991-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21108 / 1 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Asthma, Dyspnoea

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:
Current Illness:
Preexisting Conditions: asthma-(occasional bronchial inhaler)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC9191

Write-up: Loss of breath to the point it became almost like an asthma attack; oxygen & epinepherin required;


Changed on 8/14/2018

VAERS ID: 36599 Before After
VAERS Form:1
Age:42.0
Gender:Female
Location:Colorado
Vaccinated:1991-10-23
Onset:1991-10-23
Submitted:1991-11-20
Entered:1991-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1J21108 / 1 LA / -

Administered by: Public      Purchased by: Public
Symptoms: Asthma, Dyspnoea

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:
Current Illness:
Preexisting Conditions: asthma-(occasional bronchial inhaler)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC9191

Write-up: Loss of breath to the point it became almost like an asthma attack; oxygen & epinepherin required;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=36599&WAYBACKHISTORY=ON


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