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

This is VAERS ID 27719



Case Details

VAERS ID: 27719 (history)  
Form: Version 1.0  
Age: 49.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1990-12-20
Onset:1990-12-21
   Days after vaccination:1
Submitted: 1991-01-29
   Days after onset:39
Entered: 1991-02-04
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11221 / 1 LA / -

Administered by: Public       Purchased by: Public
Symptoms: Injection site oedema, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC Split Type: PA9121

Write-up: Swelling at inject site lasted 5 days involved lymph nodes left arm.


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