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This is VAERS ID 212034
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| VAERS ID: | 212034 | Vaccinated: | 2003-11-07 | | Age: | 47.0 | Onset: | 2003-11-09, Days after vaccination: 2 | | Gender: | Male | Submitted: | 2003-11-09, Days after onset: 0 | | Location: | Maryland | Entered: | 2003-11-09, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: none | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: none | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLUN | MEDIMMUNE, INC./WYETH LABORATORIES, INC | 500013P | 0 | IN | | | PPV | MERCK & CO. INC. | | 0 | IM | LA | |
| Administered by: Unknown Purchased by: Unknown | | Symptoms: Fatigue, Rhinitis | | Write-up: Patient is a health 47 year old male physician. Annual attenuated virus flu vaccination received for the past five years without any sequelae. 36 hours post flu-mist innoculation, Patient developed persistent, extremely bothersome rhinitis and fatigue. No fever, myalgia, or other symptoms. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=212034
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