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

This is VAERS ID 28561



Case Details

VAERS ID: 28561 (history)  
Form: Version 1.0  
Age: 51.0  
Sex: Female  
Location: Illinois  
Vaccinated:1989-11-04
Onset:1989-11-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Conjunctivitis, Eye pain, Injection site pain, Photophobia, Vasodilatation
SMQs:, Severe cutaneous adverse reactions (broad), Noninfectious meningitis (narrow), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (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: not available
Allergies:
Diagnostic Lab Data: not available
CDC Split Type: CO3395

Write-up: Photophobia & red, gritty & painful eyes post inject; Local rxn characterized by moderate pain & inc warmth;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28561

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