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This is VAERS ID 25585

Case Details

VAERS ID: 25585 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Connecticut  
Vaccinated:1989-11-01
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4898141 / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Throat culture - positive for Influenza A Virus
CDC Split Type: B073090055

Write-up: Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine


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