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

This is VAERS ID 91626



Case Details

VAERS ID: 91626 (history)  
Form: Version 1.0  
Age: 47.0  
Sex: Male  
Location: New York  
Vaccinated:1996-10-14
Onset:1996-10-23
   Days after vaccination:9
Submitted: 1996-10-24
   Days after onset:1
Entered: 1996-11-05
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 6F71292 / UNK RA / -
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES GC81110 / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Abscess
SMQs:

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: NA~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: .NONE
CDC Split Type:

Write-up: sterile abscess lt arm;


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