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

This is VAERS ID 29869



Case Details

VAERS ID: 29869 (history)  
Form: Version 1.0  
Age: 58.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:1990-11-02
Onset:1990-11-02
   Days after vaccination:0
Submitted: 1991-01-17
   Days after onset:76
Entered: 1991-04-12
   Days after submission:84
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Oedema, Pain
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: OK9113

Write-up: Extreme swelling & pain approx 3-4" above lt elbow on outer aspect of upper arm; Unable to lift forearm above elbow level; Began shortly p/inject, & cont now 2 mo later; Seen by MD;


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=29869

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