From the 2/14/2017 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 26615

Case Details

VAERS ID:	26615 (history)
Form:	Version .0
Age:	49.0
Sex:	Male
Location:	Ohio

Vaccinated:	1990-10-25
Onset:	1990-11-01
Days after vaccination:	7
Submitted:	1990-11-05
Days after onset:	4
Entered:	1990-11-13
Days after submission:	8

Vaccination / Manufacturer	Lot / Dose	Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH	4908192 / -	LA / IM

Administered by: Other Purchased by: Private
Symptoms: Herpes zoster, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Other Medications: Ascriptin, Sectal
Current Illness:
Preexisting Conditions: Previous allergic rx to B/P med
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Influenza Virus developed rash over trunk started 1NOV90, itches, temp 99.4. Rx Deltasone dose pack.

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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170214&IDNUMBER=26615