![]() |
National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts Home |
History of Changes from the VAERS Wayback Machine |
VAERS ID: | 26504 |
VAERS Form: | |
Age: | 66.0 |
Sex: | Female |
Location: | Pennsylvania |
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUOGEN 1989-1990 / PARKE-DAVIS | 01770P / - | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: HEADACHE, COUGH INC, PHARYNGITIS, SINUSITIS, PAIN EAR
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. ""Symptoms not due to influenza injection.""
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-12 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUOGEN 1989-1990 / PARKE-DAVIS | 01770P / - | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: HEADACHE, COUGH INC, PHARYNGITIS, SINUSITIS, PAIN EAR
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. ""Symptoms /"Symptoms not due to influenza injection."" injection./"
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-12 1990-11-06 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUOGEN 1989-1990 INFLUENZA (SEASONAL) (FLUOGEN 89-90) / PARKE-DAVIS | 01770P / - | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Cough, Ear pain, Headache, Pharyngitis, Sinusitis, HEADACHE, COUGH INC, PHARYNGITIS, SINUSITIS, PAIN EAR
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. /"Symptoms "Symptoms not due to influenza injection./" injection."
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-06 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUOGEN 89-90) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 01770P / - | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Cough, Ear pain, Headache, Pharyngitis, Sinusitis
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. "Symptoms not due to influenza injection."
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-06 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 01770P / - | LA / IM |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 01770P / - | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Cough, Ear pain, Headache, Pharyngitis, Sinusitis
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. "Symptoms not due to influenza injection."
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-06 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 01770P / - | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Cough, Ear pain, Headache, Pharyngitis, Sinusitis
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. "Symptoms not due to influenza injection."
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-06 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 01770P / - UNK | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Cough, Ear pain, Headache, Pharyngitis, Sinusitis
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. "Symptoms not due to influenza injection."
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-06 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 01770P / UNK | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Cough, Ear pain, Headache, Pharyngitis, Sinusitis
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. "Symptoms not due to influenza injection."
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-06 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 01770P / UNK | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Cough, Ear pain, Headache, Pharyngitis, Sinusitis
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. "Symptoms not due to influenza injection."
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-06 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 01770P / UNK | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Cough, Ear pain, Headache, Pharyngitis, Sinusitis
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. "Symptoms not due to influenza injection."
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-06 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 01770P / UNK | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Cough, Ear pain, Headache, Pharyngitis, Sinusitis
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. "Symptoms not due to influenza injection."
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-06 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 01770P / UNK | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Cough, Ear pain, Headache, Pharyngitis, Sinusitis
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. "Symptoms not due to influenza injection."
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-06 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 01770P / UNK | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Cough, Ear pain, Headache, Pharyngitis, Sinusitis
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. "Symptoms not due to influenza injection."
Vaccinated: | 1990-09-26 |
Onset: | 1990-10-14 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-06 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 01770P / UNK | LA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Cough, Ear pain, Headache, Pharyngitis, Sinusitis
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: Physical Exam only
CDC 'Split Type':
Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. "Symptoms not due to influenza injection."
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26504&WAYBACKHISTORY=ON
Copyright ©
2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166