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This is VAERS ID 47268

Case Details

VAERS ID: 47268 (history)  
Form: Version 1.0  
Age: 82.0  
Sex: Female  
Location: Missouri  
Vaccinated:1992-10-23
Onset:1992-10-25
   Days after vaccination:2
Submitted: 1992-10-29
   Days after onset:4
Entered: 1992-11-16
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928215 / UNK LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1992-10-25
   Days after onset: 0
Permanent Disability? No
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: hx of CAD & chronic debilitation;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt had an acute myocardial infarction on 25OCT92; pt did not recover; long hx of cornary artery disease & chronic debilitation;


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