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This is VAERS ID 26826

Case Details

VAERS ID: 26826 (history)  
Form: Version 1.0  
Age: 25.0  
Sex: Female  
Location: California  
Vaccinated:1990-10-19
Onset:1990-10-20
   Days after vaccination:1
Submitted: 1990-10-23
   Days after onset:3
Entered: 1990-11-27
   Days after submission:35
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11217 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Nuchal rigidity
SMQs:

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: allerigc to ibuprofen, sulfa drugs
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Fluzone developed painful stiff neck x5 days; No fever or other symptoms; No muscle ache or sensory nerve changes noticed.


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