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This is VAERS ID 27560

Case Details

VAERS ID: 27560 (history)  
Form: Version 1.0  
Age: 52.0  
Gender: Female  
Location: Oregon  
Vaccinated:1990-10-19
Onset:1990-10-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01970P / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthma
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Wheezing & tightness in throat. Took Benedryl & symptoms were relieved.


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