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This is VAERS ID 98497

Case Details

VAERS ID: 98497 (history)  
Form: Version 1.0  
Age: 39.0  
Sex: Female  
Location: Iowa  
Vaccinated:1996-11-03
Onset:1996-11-03
   Days after vaccination:0
Submitted: 1996-11-03
   Days after onset:0
Entered: 1997-06-04
   Days after submission:212
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4968169 / 1 LA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Hypokinesia, Injection site pain, Laryngospasm, Pain, Tendon disorder
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (narrow)

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:
Current Illness:
Preexisting Conditions: allergies to mold, pollens, sulfa, PCN;alcohol 1-2mo;I do have alot of low back pain, heel pain, bursitis hip, arthritis, psoriasis, asthma;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recv vax & felt tightness in throat;severe pain in arm & couldn''t lift arm;JAN97 call MD still couldn''t move arm;MD felt probable rotary cuff tendinitis;pt to physical therapy;arm & shoulder getting worse;still painful;


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