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From the 9/17/2021 release of VAERS data:

This is VAERS ID 90835



Case Details

VAERS ID: 90835 (history)  
Form: Version 1.0  
Age: 27.0  
Sex: Male  
Location: Alabama  
Vaccinated:1995-10-17
Onset:1995-10-20
   Days after vaccination:3
Submitted: 1996-09-30
   Days after onset:346
Entered: 1996-10-22
   Days after submission:22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00295P / 1 RA / -

Administered by: Private       Purchased by: Other
Symptoms: Dyspnoea, Infection, Influenza, Pneumonia, Sarcoidosis
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lung biopsy-hosp
CDC Split Type:

Write-up: became sick w/flu which turned into pneumonia, which prolonged until became unable to breathe which resulted in hosp in which they did a lung biopsy, finding out pt had sarcoidosis;tx large doses of steroids since JUN96;has had to retire;


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