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This is VAERS ID 60115

Case Details

VAERS ID: 60115 (history)  
Form: Version 1.0  
Age: 75.0  
Sex: Female  
Location: Arizona  
Vaccinated:1993-11-01
Onset:0000-00-00
Submitted: 1993-02-19
Entered: 1994-03-01
   Days after submission:375
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public       Purchased by: Public
Symptoms: Arthralgia, Asthenia, Malaise, Pain
SMQs:, Guillain-Barre syndrome (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp rxn @ 59 y/o w/swineflu dose 1;~ ()~~~In patient
Other Medications: Ativan
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: AZ9408

Write-up: pt describes onset of pain in opposite arm from inject site 1 day following vax; this pain extended from palm to shoulder on inside of arm; sx progressed to involve lt arm & both knees & lower limbs assoc w/malaise & weakness;


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