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From the 9/17/2021 release of VAERS data:

This is VAERS ID 105336



Case Details

VAERS ID: 105336 (history)  
Form: Version 1.0  
Age: 85.0  
Sex: Female  
Location: New York  
Vaccinated:1997-09-16
Onset:1997-09-17
   Days after vaccination:1
Submitted: 1997-11-28
   Days after onset:72
Entered: 1997-12-03
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81840 / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Deafness transitory
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Synthroid once/day
Current Illness: NONE
Preexisting Conditions: hypothyroid condition
Allergies:
Diagnostic Lab Data: both tests indicated significant hearing loss bilat;standard hearing test X3;BAER test brain stem auditory response test;
CDC Split Type:

Write-up: w/in 24hr of vax pt exp hearing related sx in both ears;voices are heard @ two distinct pitches @ the same time-a nl pitch & a very low pitch;marked hearing loss;inability to recognize familiar voices;singing voices sound off key;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=105336


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