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From the 11/26/2021 release of VAERS data:

This is VAERS ID 29152

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Case Details

VAERS ID: 29152 (history)  
Form: Version 1.0  
Age: 66.0  
Sex: Female  
Location: Minnesota  
Vaccinated:1990-11-15
Onset:1990-11-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908188 / 1 LA / -

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Pain, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), 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: NONE KNOWN~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE - "felt fine"
Preexisting Conditions: Radioisptope treatments to neck in 60''s
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: MN90004

Write-up: c/o elbow to shoulder area tender, warm, red but "underneath, not where shot given" discomfort noted w/movement. Neck & face red, warm, painful, itchy. Took Benadryl which offered relief. Neck, chin to ears still itchy & red.


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