National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 47308

Case Details

VAERS ID: 47308 (history)  
Form: Version 1.0  
Age: 75.0  
Sex: Female  
Location: Illinois  
Vaccinated:1992-10-16
Onset:1992-10-17
   Days after vaccination:1
Submitted: 1992-11-13
   Days after onset:27
Entered: 1992-11-17
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928226 / UNK RA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lasix, K-tab, Hydralazme
Current Illness:
Preexisting Conditions: hypertension, moderate carotid artery stenosis, lt venous insufficiency;
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up:


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=47308


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166