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From the 1/7/2022 release of VAERS data:

This is VAERS ID 197345

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Case Details

VAERS ID: 197345 (history)  
Form: Version 1.0  
Age: 42.0  
Sex: Female  
Location: New York  
Vaccinated:1999-10-08
Onset:1999-10-08
   Days after vaccination:0
Submitted: 2003-02-05
   Days after onset:1216
Entered: 2003-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public       Purchased by: Private
Symptoms: Arthritis, Arthropathy, Pain
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control Pills; Claritin; Flonase
Current Illness: N/A
Preexisting Conditions: Allergies: Seasonal, dust mites, mold, tree/grass pollens
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shot was given up high on my right shoulder. Soreness from shot continued. 3/14/00: I discussed pain in shoulder with Dr. while in the office for other purpose-he thought immunization might have hit the bursas in my right shoulder. Tried 3 ibuprophin twice daily in Sept/Oct 2001. 10/29/01: Dr. referred me to physical therapy for right should pain. 11/16/01-12/27/01: went to physical therapy. The therapist suggested that there might be other problems beyond what therapy could do for me. 1/21/02: x-ray of right shoulder. 2/4/02: Dr. diagnosed osteoartritis in my right shoulder and gave me my 1st cortisone shot. 11/11/02: Returned to Dr. and received a 2nd cortosone shot. Shoulder is still painful from the arthitis in the same location as I had received the flu shot. The follow up states the date of the flu immunization is incorrect in the letter and on the authorizations for release of info. It should be 10/8/99, not 10/8/02. I changed the date. I didn''t provide the following info when I filed the original report. I was taking a prescription medication for cyclobenzaprine 10mg after seeing physician''s assistant. This was also for the right shoulder (muscle strain). I received physical therapy from 11/16/01-12/27/01. I didn''t give you the name of the provider in the original report. I''m mailing the authorizations for release of info today. Degenerate AC joint change.


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