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From the 9/17/2021 release of VAERS data:

This is VAERS ID 27180



Case Details

VAERS ID: 27180 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Female  
Location: New York  
Vaccinated:1990-11-21
Onset:1990-11-29
   Days after vaccination:8
Submitted: 1990-12-20
   Days after onset:21
Entered: 1990-12-26
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Pleural disorder
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow), Immune-mediated/autoimmune disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ESR 59; CBC WNL; Rheumatoid factor (+) 1:40; CH 50 <2%.
CDC Split Type:

Write-up: Pt vaccinated with Influenza and was asymptomatic at time of shot; 10 days later, developed pleuritis , then progressed to diffuse arthralgia with arthritis in rt wrist.


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