National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 108980

Case Details

VAERS ID: 108980 (history)  
Form: Version 1.0  
Age: 57.0  
Sex: Female  
Location: Texas  
Vaccinated:1997-10-24
Onset:1997-10-27
   Days after vaccination:3
Submitted: 1998-02-23
   Days after onset:119
Entered: 1998-03-31
   Days after submission:36
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81735 / UNK LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Pain
SMQs:

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: TX98032

Write-up: cont severe pain & throbbing in lt arm between elbow & shoulder;had full body bone scan, complete neuro test;motor sensory, reflex each nerve, paraspinous;5 sessions of physical therapy;still in pain;cannot find anything wrong;


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=108980


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166