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This is VAERS ID 27346

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27346
VAERS Form:
Age:76.6
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS / PARKE-DAVIS 02070P / - RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: INJECT SITE REACT, MYALGIA, ASTHENIA

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 12/8/2009

VAERS ID: 27346 Before After
VAERS Form:
Age:76.6
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-10 1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1990-1991 PARKE-DAVIS INFLUENZA (SEASONAL) (FLUOGEN 90-91) / PARKE-DAVIS 02070P / - RA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Asthenia, Injection site reaction, Myalgia, INJECT SITE REACT, MYALGIA, ASTHENIA

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 8/31/2010

VAERS ID: 27346 Before After
VAERS Form:
Age:76.6
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN 90-91) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / - RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 7/7/2013

VAERS ID: 27346 Before After
VAERS Form:
Age:76.6
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / - RA / -
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / - RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 2/14/2017

VAERS ID: 27346 Before After
VAERS Form:
Age:76.6 76.0
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / - RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 5/14/2017

VAERS ID: 27346 Before After
VAERS Form:
Age:76.0
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / - RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 9/14/2017

VAERS ID: 27346 Before After
VAERS Form:(blank) 1
Age:76.0
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / - UNK RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 2/14/2018

VAERS ID: 27346 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / UNK RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 6/14/2018

VAERS ID: 27346 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / UNK RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 8/14/2018

VAERS ID: 27346 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / UNK RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 9/14/2018

VAERS ID: 27346 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / UNK RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 10/14/2018

VAERS ID: 27346 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / UNK RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 12/24/2020

VAERS ID: 27346 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / UNK RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 12/30/2020

VAERS ID: 27346 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / UNK RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 5/7/2021

VAERS ID: 27346 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / UNK RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.


Changed on 5/14/2021

VAERS ID: 27346 Before After
VAERS Form:1
Age:76.0
Sex:Female
Location:Michigan
Vaccinated:1990-11-09
Onset:1990-11-09
Submitted:1991-01-02
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 02070P / UNK RA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Injection site reaction, Myalgia

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

Write-up: Pt vaccinated with FLU developed persistent muscle aches, weakness at inject site. Lasting 2 months now - no other hx of injury of other arthritic/rheumatic symptoms.

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