From the 12/14/2016 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 26708

Case Details

VAERS ID:	26708 (history)
Form:	Version .0
Age:	44.9
Sex:	Male
Location:	New York

Vaccinated:	1990-11-07
Onset:	1990-11-07
Days after vaccination:	0
Submitted:	1990-11-08
Days after onset:	1
Entered:	1990-11-21
Days after submission:	13

Vaccination / Manufacturer	Lot / Dose	Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER	- / -	- / -

Administered by: Private Purchased by: Public
Symptoms: Chills, Cough, Hyperhidrosis, Pyrexia, Rhinitis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: In pt at 38yo flu.
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.

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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20161214&IDNUMBER=26708