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From the 12/31/2003 release of VAERS data (an older release, current is 10/15/2021):

This is VAERS ID 102776

Case Details

VAERS ID: 102776 (history)  
Form: Version .0  
Age: 68.5  
Sex: Female  
Location: Colorado  
   Days after vaccination:123
Submitted: 1997-09-09
   Days after onset:1315
Entered: 1997-09-30
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1993-1994 / WYETH - / - - / IM

Administered by: Private       Purchased by: Unknown

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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: recurrent facial shingles isnce 1945 which was treated w/x-ray therapy in 1945;
Diagnostic Lab Data: CT scans: reportedly negative;MRI''s reportedly negative;
CDC Split Type:

Write-up: pt recv vax in OCT93 & in FEB94 pt exp loss of taste & smell;CT scans & MRI were reportedly neg;pt stated that a specialist told her has olfactory nerve damage r/t flu shot;

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