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From the 9/10/2021 release of VAERS data:

This is VAERS ID 94029



Case Details

VAERS ID: 94029 (history)  
Form: Version 1.0  
Age: 42.0  
Sex: Female  
Location: New York  
Vaccinated:1996-10-17
Onset:1996-10-17
   Days after vaccination:0
Submitted: 1996-11-20
   Days after onset:34
Entered: 1997-01-24
   Days after submission:65
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968205 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Dysgeusia, Malaise, Nausea, Pyrexia
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: ~ ()~~~In patient
Other Medications: NONE;
Current Illness:
Preexisting Conditions: no smoking, no ETOH;negative hx renal/hepatitis disease;no allergies;
Allergies:
Diagnostic Lab Data: 12NOV96 no arthralgia
CDC Split Type:

Write-up: pt recv vax 17OCT96 & 20OCT96 pt exp fever, nausea, chang in taste, malaise;seen 28OCT96;SGOT 348, SGPT 538 w/nl t. bili; & alk 0;negative hep A,B,C, monospot, EBVAB, CMVAb, toxo Ab;


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