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From the 7/16/2021 release of VAERS data:

This is VAERS ID 69850



Case Details

VAERS ID: 69850 (history)  
Form: Version 1.0  
Age: 55.0  
Sex: Female  
Location: New Jersey  
Vaccinated:1994-11-10
Onset:1994-11-11
   Days after vaccination:1
Submitted: 1994-12-20
   Days after onset:39
Entered: 1994-12-27
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51145 / 1 LA / -

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Deafness, Ear pain, Hypokinesia
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none;
Current Illness:
Preexisting Conditions: pcn, ASA;
Allergies:
Diagnostic Lab Data: none;
CDC Split Type:

Write-up: pt recvd vax;day p/ vax,became weak & sluggish;about 1 1/2 wk p/vax,lost hearing rt ear accompanied by pain;now main problem is hearing loss of rt ear;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=69850


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