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This is VAERS ID 26720

Case Details

VAERS ID: 26720 (history)  
Form: Version 1.0  
Age: 70.0  
Sex: Female  
Location: Arizona  
Vaccinated:1990-10-11
Onset:1990-10-11
   Days after vaccination:0
Submitted: 1990-11-16
   Days after onset:36
Entered: 1990-11-26
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11208 / UNK LA / IM

Administered by: Other       Purchased by: Public
Symptoms: Injection site abscess, Injection site reaction
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lopressor
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC Split Type: AZ9001

Write-up: Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.


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