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

This is VAERS ID 30333



Case Details

VAERS ID: 30333 (history)  
Form: Version 1.0  
Age: 35.0  
Sex: Female  
Location: Maryland  
Vaccinated:1990-11-23
Onset:1990-11-23
   Days after vaccination:0
Submitted: 1991-04-26
   Days after onset:153
Entered: 1991-05-07
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11031 / UNK - / IM

Administered by: Military       Purchased by: Military
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Pruritus & urticaria p/FLUZONE 05.ml IM rxn 30 min p/inject; No hx of egg allergy; Tx DPH & topical sterioids;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=30333

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