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This is VAERS ID 29349

Case Details

VAERS ID: 29349 (history)  
Form: Version 1.0  
Age: 30.0  
Sex: Female  
Location: North Carolina  
Vaccinated:1990-10-13
Onset:1990-12-12
   Days after vaccination:60
Submitted: 0000-00-00
Entered: 1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11164 / UNK - / IM A

Administered by: Military       Purchased by: Military
Symptoms: Pupillary disorder
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 0.12% Pilocarpine to affected eye to diagnose adies pupil
CDC Split Type:

Write-up: Aides pupil diagnosed 13DEC90;


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