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

This is VAERS ID 29956



Case Details

VAERS ID: 29956 (history)  
Form: Version 1.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated:1990-11-19
Onset:1990-11-20
   Days after vaccination:1
Submitted: 1990-11-26
   Days after onset:6
Entered: 1991-04-18
   Days after submission:142
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908204 / 1 LA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / -

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC Split Type: CA9138

Write-up: /Win 24 hrs of getting pneumonia & flu shot-area around the site of injection developed a rash /w an enlarging of the lymph gland under the arm. Lasted for about a wk. No TX.


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