![]() |
National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts Home |
History of Changes from the VAERS Wayback Machine |
VAERS ID: | 26600 |
VAERS Form: | |
Age: | 42.0 |
Sex: | Male |
Location: | Texas |
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-13 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH | - / - | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: URTICARIA
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-13 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) / WYETH WYETH PHARMACEUTICALS, INC | - / - | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria, URTICARIA
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH | - / - | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / - | - / IM |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / - | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / - | - / IM |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / - | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / - | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / - UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Vaccinated: | 1990-10-09 |
Onset: | 1990-10-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-11-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH | - / UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Urticaria
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: Diazepam; Biscodyl, Demerol
Current Illness:
Preexisting Conditions: Spastic & dystomiquadraplegia, Cerebral palsy
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':
Write-up: Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26600&WAYBACKHISTORY=ON
Copyright ©
2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166