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This is VAERS ID 26504

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 26504 (history)  
Form: Version .0  
Age: 66.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1990-09-26
Onset:1990-10-14
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 1990-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1989-1990 / PARKE-DAVIS 01770P / - LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: COUGH INC, HEADACHE, PAIN EAR, PHARYNGITIS, SINUSITIS
SMQs:

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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Physical Exam only
CDC Split Type:

Write-up: Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr. Given antibiotic & expectorant by MD dx URI. ""Symptoms not due to influenza injection.""


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=26504


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