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From the 10/15/2021 release of VAERS data:

This is VAERS ID 30870



Case Details

VAERS ID: 30870 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: New York  
Vaccinated:1990-11-12
Onset:1990-11-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 1991-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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: Tenormin, Diuretic, Ansaid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NA
CDC Split Type: 900203501

Write-up: Elderly pt (70''s) rec''d vax 12NOV90; 2 days later, experienced dizziness, retching & then vomited; Dizziness persisted for 2 days;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=30870

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