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This is VAERS ID 26843

Case Details

VAERS ID: 26843 (history)  
Form: Version 1.0  
Age: 82.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1990-10-08
Onset:1990-10-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 1990-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908205 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abscess, Oedema, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Calan SR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture - negative; abscess culture - negative
CDC Split Type:

Write-up: Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .


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