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From the 10/15/2021 release of VAERS data:

This is VAERS ID 28577



Case Details

VAERS ID: 28577 (history)  
Form: Version 1.0  
Age: 30.0  
Sex: Female  
Location: Unknown  
Vaccinated:1989-10-16
Onset:1989-10-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Diarrhoea, Headache, Hyperhidrosis, Injection site pain, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (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: NA
CDC Split Type: CO3679

Write-up: Diaphoresis, nausea, h/a upon awakening; Headache all day & p/dinner, diarrhea; pain @ inject site, unable to sleep on her arm;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28577

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