| History of Changes from the VAERS Wayback Machine |
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| VAERS ID: | 155495 |
| VAERS Form: | |
| Age: | |
| Sex: | Unknown |
| Location: | Connecticut |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 1999-12-09 |
| Entered: | 2000-08-02 |
Ct-shield V2.0 Download
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU: FLUSHIELD 1999-2000 / WYETH | 4998229 / - | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: FEVER
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':
Write-up: Fever. A physician reported that a pt received an injection of Flu Shield and within 6 hours, developed a fever which persisted for 7 days, and the pt was hospitalized. This is 1 of 2 reports from this facility of adverse events post vax of this Flu Shiel'd lot.
| VAERS ID: | 155495 BeforeAfter |
| VAERS Form: | |
| Age: | |
| Sex: | Unknown |
| Location: | Connecticut |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 1999-12-09 |
| Entered: | 2000-08-022000-06-27 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU:FLUSHIELD 1999-2000INFLUENZA (SEASONAL) (FLUSHIELD 99-00) / WYETHWYETH PHARMACEUTICALS, INC | 4998229 / - | - / IM |
Administered by: Private Purchased by: UnknownOther
Symptoms:Pyrexia, FEVER
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':(blank)HQ7088101DEC1999
Write-up: Fever. A physician reported that a pt received an injection of Flu Shield and within 6 hours, developed a fever which persisted for 7 days, and the pt was hospitalized. This is 1 of 2 reports from this facility of adverse events post vax of this Flu Shiel'dShield lot.
| VAERS ID: | 155495 BeforeAfter |
| VAERS Form: | |
| Age: | |
| Sex: | Unknown |
| Location: | Connecticut |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 1999-12-09 |
| Entered: | 2000-06-27 |
Ct Shield
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU:INFLUENZA (SEASONAL) (FLUSHIELD 99-00)INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INCPFIZER/WYETH | 4998229 / - | - / IM |
Administered by: Private Purchased by: Other
Symptoms: Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ7088101DEC1999
Write-up: Fever. A physician reported that a pt received an injection of Flu Shield and within 6 hours, developed a fever which persisted for 7 days, and the pt was hospitalized. This is 1 of 2 reports from this facility of adverse events post vax of this Flu Shield lot.
| VAERS ID: | 155495 BeforeAfter |
| VAERS Form: | |
| Age: | |
| Sex: | Unknown |
| Location: | Connecticut |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 1999-12-09 |
| Entered: | 2000-06-27 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | 4998229 / - | - / IM |
| FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | 4998229 / - | - / IM |
Administered by: Private Purchased by: Other
Symptoms: Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ7088101DEC1999
Write-up: Fever. A physician reported that a pt received an injection of Flu Shield and within 6 hours, developed a fever which persisted for 7 days, and the pt was hospitalized. This is 1 of 2 reports from this facility of adverse events post vax of this Flu Shield lot.
| VAERS ID: | 155495 BeforeAfter |
| VAERS Form: | (blank)1 |
| Age: | |
| Sex: | Unknown |
| Location: | Connecticut |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 1999-12-09 |
| Entered: | 2000-06-27 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | 4998229 / -UNK | - / IM |
Administered by: Private Purchased by: Other
Symptoms: Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ7088101DEC1999
Write-up: Fever. A physician reported that a pt received an injection of Flu Shield and within 6 hours, developed a fever which persisted for 7 days, and the pt was hospitalized. This is 1 of 2 reports from this facility of adverse events post vax of this Flu Shield lot.
| VAERS ID: | 155495 BeforeAfter |
| VAERS Form: | 1 |
| Age: | |
| Sex: | Unknown |
| Location: | Connecticut |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 1999-12-09 |
| Entered: | 2000-06-27 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | 4998229 / UNK | - / IM |
Administered by: Private Purchased by: Other
Symptoms: Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ7088101DEC1999
Write-up: Fever. A physician reported that a pt received an injection of Flu Shield and within 6 hours, developed a fever which persisted for 7 days, and the pt was hospitalized. This is 1 of 2 reports from this facility of adverse events post vax of this Flu Shield lot.
| VAERS ID: | 155495 BeforeAfter |
| VAERS Form: | 1 |
| Age: | |
| Sex: | Unknown |
| Location: | Connecticut |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 1999-12-09 |
| Entered: | 2000-06-27 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | 4998229 / UNK | - / IM |
Administered by: Private Purchased by: Other
Symptoms: Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ7088101DEC1999
Write-up: Fever. A physician reported that a pt received an injection of Flu Shield and within 6 hours, developed a fever which persisted for 7 days, and the pt was hospitalized. This is 1 of 2 reports from this facility of adverse events post vax of this Flu Shield lot.
| VAERS ID: | 155495 BeforeAfter |
| VAERS Form: | 1 |
| Age: | |
| Sex: | Unknown |
| Location: | Connecticut |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 1999-12-09 |
| Entered: | 2000-06-27 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | 4998229 / UNK | - / IM |
Administered by: Private Purchased by: Other
Symptoms: Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ7088101DEC1999
Write-up: Fever. A physician reported that a pt received an injection of Flu Shield and within 6 hours, developed a fever which persisted for 7 days, and the pt was hospitalized. This is 1 of 2 reports from this facility of adverse events post vax of this Flu Shield lot.
| VAERS ID: | 155495 BeforeAfter |
| VAERS Form: | 1 |
| Age: | |
| Sex: | Unknown |
| Location: | Connecticut |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 1999-12-09 |
| Entered: | 2000-06-27 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | 4998229 / UNK | - / IM |
Administered by: Private Purchased by: Other
Symptoms: Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ7088101DEC1999
Write-up: Fever. A physician reported that a pt received an injection of Flu Shield and within 6 hours, developed a fever which persisted for 7 days, and the pt was hospitalized. This is 1 of 2 reports from this facility of adverse events post vax of this Flu Shield lot.
| VAERS ID: | 155495 BeforeAfter |
| VAERS Form: | 1 |
| Age: | |
| Sex: | Unknown |
| Location: | Connecticut |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 1999-12-09 |
| Entered: | 2000-06-27 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH | 4998229 / UNK | - / IM |
Administered by: Private Purchased by: Other
Symptoms: Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': HQ7088101DEC1999
Write-up: Fever. A physician reported that a pt received an injection of Flu Shield and within 6 hours, developed a fever which persisted for 7 days, and the pt was hospitalized. This is 1 of 2 reports from this facility of adverse events post vax of this Flu Shield lot.
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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=155495&WAYBACKHISTORY=ON