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This is VAERS ID 27738

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27738
VAERS Form:
Age:74.1
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED 8F91126 / - - / -

Administered by: Public      Purchased by: Unknown
Symptoms: EDEMA FACE, DRY MOUTH

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 12/8/2009

VAERS ID: 27738 Before After
VAERS Form:
Age:74.1
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-07 1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER 8F91126 / - - / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Dry mouth, Face oedema, EDEMA FACE, DRY MOUTH

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 7/7/2013

VAERS ID: 27738 Before After
VAERS Form:
Age:74.1
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 12/14/2016

VAERS ID: 27738 Before After
VAERS Form:
Age:74.1
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 2/14/2017

VAERS ID: 27738 Before After
VAERS Form:
Age:74.1 74.0
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 5/14/2017

VAERS ID: 27738 Before After
VAERS Form:
Age:74.0
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 9/14/2017

VAERS ID: 27738 Before After
VAERS Form:(blank) 1
Age:74.0
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / - UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 2/14/2018

VAERS ID: 27738 Before After
VAERS Form:1
Age:74.0
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 6/14/2018

VAERS ID: 27738 Before After
VAERS Form:1
Age:74.0
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 8/14/2018

VAERS ID: 27738 Before After
VAERS Form:1
Age:74.0
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 9/14/2018

VAERS ID: 27738 Before After
VAERS Form:1
Age:74.0
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 10/14/2018

VAERS ID: 27738 Before After
VAERS Form:1
Age:74.0
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 12/24/2020

VAERS ID: 27738 Before After
VAERS Form:1
Age:74.0
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 12/30/2020

VAERS ID: 27738 Before After
VAERS Form:1
Age:74.0
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 5/7/2021

VAERS ID: 27738 Before After
VAERS Form:1
Age:74.0
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.


Changed on 5/14/2021

VAERS ID: 27738 Before After
VAERS Form:1
Age:74.0
Sex:Male
Location:Texas
Vaccinated:1988-11-10
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 8F91126 / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Dry mouth, Face oedema

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:
CDC 'Split Type':

Write-up: Gums swollen, upper lip tender & puffy & dry, causing me to constantly wet lip w/tongue same condition w/lower lip, very annoying especially at night.

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