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

This is VAERS ID 27226



Case Details

VAERS ID: 27226 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Male  
Location: California  
Vaccinated:1990-11-30
Onset:1990-12-04
   Days after vaccination:4
Submitted: 1990-12-07
   Days after onset:3
Entered: 1990-12-28
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: bronchial asthma, neurological problems
Allergies:
Diagnostic Lab Data:
CDC Split Type: 904090015

Write-up: seizure reported in pt receiving Fluogen necessary due to bronchial asthma & neurological problems & 82 hrs later had seizure, taken to ER, T 101, more seizures,


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27226


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