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From the 2/18/2021 release of VAERS data:

This is VAERS ID 107151

Case Details

VAERS ID: 107151 (history)  
Form: Version 1.0  
Age: 57.0  
Sex: Female  
Location: Ohio  
Vaccinated:1997-11-04
Onset:1997-11-06
   Days after vaccination:2
Submitted: 1998-01-27
   Days after onset:82
Entered: 1998-02-03
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81916 / UNK LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Asthenia, Breast neoplasm, Hypercholesterolaemia, Pyrexia, Somnolence
SMQs:, Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Lipodystrophy (broad), Breast tumours of unspecified malignancy (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Non-haematological tumours of unspecified malignancy (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: folic acid;MVI;Caltrate;Sulfasalazine
Current Illness: cold
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: mamogram;blood work
CDC Split Type:

Write-up: w/in 2 days had lethargy & fatigue w/low grade fever;cont till 3JAN97 & then lifted;mammogram in NOV showed lump;primary MD referred pt to MD-surgeon;dx w/breast cancer;26JAN97 pt had bilat modified mastectomy;c/o cholesterol inc since vax;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=107151


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