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From the 10/8/2021 release of VAERS data:

This is VAERS ID 28560



Case Details

VAERS ID: 28560 (history)  
Form: Version 1.0  
Age: 36.0  
Sex: Unknown  
Location: New York  
Vaccinated:1990-01-08
Onset:1990-01-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 9F01230 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cough, Diarrhoea, Influenza, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (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: not available
Allergies:
Diagnostic Lab Data: not available
CDC Split Type: CO3309

Write-up: Flu-like sx; fever, muscle ache, diarrhea & cough for 5 days duration; Seen in office;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28560

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