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

This is VAERS ID 28576



Case Details

VAERS ID: 28576 (history)  
Form: Version 1.0  
Age: 72.0  
Sex: Female  
Location: Unknown  
Vaccinated:1989-09-26
Onset:1989-09-28
   Days after vaccination:2
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: Injection site hypersensitivity, Injection site oedema, Injection site reaction, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: NA
Allergies:
Diagnostic Lab Data: not available
CDC Split Type: CO3376

Write-up: Erythematous area of 10cm @ inject site w/intact skin, burning, itchy & slightly swollen;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28576

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