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This is VAERS ID 26672

Case Details

VAERS ID: 26672 (history)  
Form: Version 1.0  
Age: 39.0  
Sex: Female  
Location: New Jersey  
Vaccinated:1990-10-08
Onset:1990-10-08
   Days after vaccination:0
Submitted: 1990-11-12
   Days after onset:35
Entered: 1990-11-16
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908180 / 2 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site abscess, Injection site reaction
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin
Current Illness: Routine check up
Preexisting Conditions: MS, Chronic UTI
Allergies:
Diagnostic Lab Data: Cephalothin LE 8 susceptible
CDC Split Type:

Write-up: Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50 mg, Buferin, Keflex PRN 500MG.


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