![]() |
National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts Home |
History of Changes from the VAERS Wayback Machine |
VAERS ID: | 46496 |
VAERS Form: | |
Age: | 82.5 |
Sex: | Female |
Location: | Hawaii |
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUOGEN 1991-1992 / PARKE-DAVIS | 148P / - | - / - |
PPV: PNU-IMUNE(R)23 / LEDERLE | 314914 / - | - / - |
Administered by: Public Purchased by: Unknown
Symptoms: MYALGIA
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': arthritis, diverticulitis
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane ""this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-29 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: FLUOGEN 1991-1992 INFLUENZA (SEASONAL) (FLUOGEN 91-92) / PARKE-DAVIS | 148P / - | - / - |
PPV: PNU-IMUNE(R)23 PNEUMO (PNU-IMUNE) / LEDERLE LEDERLE LABORATORIES | 314914 / - | - / - |
Administered by: Public Purchased by: Unknown Public
Symptoms: Myalgia, MYALGIA
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': arthritis, diverticulitis HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane ""this "this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUOGEN 91-92) INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / - | - / - |
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES | 314914 / - | - / - |
Administered by: Public Purchased by: Public
Symptoms: Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane "this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / - | - / - |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / - | - / - |
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES | 314914 / - | - / - |
Administered by: Public Purchased by: Public
Symptoms: Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane "this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / - | - / - |
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES | 314914 / - | - / - |
Administered by: Public Purchased by: Public
Symptoms: Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane "this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / - | - / - |
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH | 314914 / - | - / - |
Administered by: Public Purchased by: Public
Symptoms: Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE NONE~ ()~~~In patient
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane "this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / - UNK | - / - |
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH | 314914 / - UNK | - / - |
Administered by: Public Purchased by: Public
Symptoms: Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE~ ()~~~In patient
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane "this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / UNK | - / - |
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH | 314914 / UNK | - / - |
Administered by: Public Purchased by: Public
Symptoms: Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE~ ()~~~In patient
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane "this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / UNK | - / - |
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH | 314914 / UNK | - / - |
Administered by: Public Purchased by: Public
Symptoms: Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE~ ()~~~In patient
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane "this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / UNK | - / - |
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH | 314914 / UNK | - / - |
Administered by: Public Purchased by: Public
Symptoms: Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE~ ()~~~In patient
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane "this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / UNK | - / - |
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH | 314914 / UNK | - / - |
Administered by: Public Purchased by: Public
Symptoms: Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE~ ()~~~In patient
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane "this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / UNK | - / - |
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH | 314914 / UNK | - / - |
Administered by: Public Purchased by: Public
Symptoms: Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE~ ()~~~In patient
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane "this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / UNK | - / - |
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH | 314914 / UNK | - / - |
Administered by: Public Purchased by: Public
Symptoms: Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE~ ()~~~In patient
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane "this is not an arthritis-like pain;
Vaccinated: | 1991-11-13 |
Onset: | 1992-01-13 |
Submitted: | 1992-07-10 |
Entered: | 1992-10-26 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS | 148P / UNK | - / - |
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH | 314914 / UNK | - / - |
Administered by: Public Purchased by: Public
Symptoms: Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE~ ()~~~In patient
Other Medications: Dioxin, Baby ASA, Seldane, Maxide, Potassium, Premarin
Current Illness: NONE
Preexisting Conditions: arthritis, diverticulitis
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': HI9210
Write-up: aching in rt arm began 2 mons p/vax recvd, & still aches @ noc, p/writing/baking; hx of arthritis, rx past 10 yrs Seldane "this is not an arthritis-like pain;
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=46496&WAYBACKHISTORY=ON
Copyright ©
2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166