National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 26895

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26895
VAERS Form:
Age:80.0
Sex:Female
Location:Rhode Island
Vaccinated:1990-10-14
Onset:1990-10-14
Submitted:0000-00-00
Entered:1990-12-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908183 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: NAUSEA, VOMIT

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.


Changed on 12/8/2009

VAERS ID: 26895 Before After
VAERS Form:
Age:80.0
Sex:Female
Location:Rhode Island
Vaccinated:1990-10-14
Onset:1990-10-14
Submitted:0000-00-00
Entered:1990-12-06 1990-12-04
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 4908183 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting, NAUSEA, VOMIT

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.


Changed on 8/31/2010

VAERS ID: 26895 Before After
VAERS Form:
Age:80.0
Sex:Female
Location:Rhode Island
Vaccinated:1990-10-14
Onset:1990-10-14
Submitted:0000-00-00
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME, 90-91) INFLUENZA (SEASONAL) (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4908183 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.


Changed on 7/7/2013

VAERS ID: 26895 Before After
VAERS Form:
Age:80.0
Sex:Female
Location:Rhode Island
Vaccinated:1990-10-14
Onset:1990-10-14
Submitted:0000-00-00
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908183 / - - / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908183 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.


Changed on 12/14/2016

VAERS ID: 26895 Before After
VAERS Form:
Age:80.0
Sex:Female
Location:Rhode Island
Vaccinated:1990-10-14
Onset:1990-10-14
Submitted:0000-00-00
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908183 / - - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908183 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.


Changed on 5/14/2017

VAERS ID: 26895 Before After
VAERS Form:
Age:80.0
Sex:Female
Location:Rhode Island
Vaccinated:1990-10-14
Onset:1990-10-14
Submitted:0000-00-00
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908183 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.


Changed on 9/14/2017

VAERS ID: 26895 Before After
VAERS Form:(blank) 1
Age:80.0
Sex:Female
Location:Rhode Island
Vaccinated:1990-10-14
Onset:1990-10-14
Submitted:0000-00-00
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908183 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.


Changed on 2/14/2018

VAERS ID: 26895 Before After
VAERS Form:1
Age:80.0
Sex:Female
Location:Rhode Island
Vaccinated:1990-10-14
Onset:1990-10-14
Submitted:0000-00-00
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908183 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.


Changed on 6/14/2018

VAERS ID: 26895 Before After
VAERS Form:1
Age:80.0
Sex:Female
Location:Rhode Island
Vaccinated:1990-10-14
Onset:1990-10-14
Submitted:0000-00-00
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908183 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.


Changed on 8/14/2018

VAERS ID: 26895 Before After
VAERS Form:1
Age:80.0
Sex:Female
Location:Rhode Island
Vaccinated:1990-10-14
Onset:1990-10-14
Submitted:0000-00-00
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908183 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.


Changed on 9/14/2018

VAERS ID: 26895 Before After
VAERS Form:1
Age:80.0
Sex:Female
Location:Rhode Island
Vaccinated:1990-10-14
Onset:1990-10-14
Submitted:0000-00-00
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908183 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.


Changed on 10/14/2018

VAERS ID: 26895 Before After
VAERS Form:1
Age:80.0
Sex:Female
Location:Rhode Island
Vaccinated:1990-10-14
Onset:1990-10-14
Submitted:0000-00-00
Entered:1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908183 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26895&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166