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This is VAERS ID 26866

(NOTE: This result is from the 12/30/2006 version of the VAERS database)

Case Details

VAERS ID: 26866 (history)  
Form: Version .0  
Age: 71.3  
Sex: Male  
Location: Massachusetts  
Vaccinated:1990-10-23
Onset:1990-10-27
   Days after vaccination:4
Submitted: 1990-10-27
   Days after onset:0
Entered: 1990-12-05
   Days after submission:39
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11226 / - LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: EDEMA FACE, RASH
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Given Seldane Anhydroxizine
CDC Split Type:

Write-up: Pt vaccinated with Influenza four days following injection, pt stated /"I had red spots on my face/", followed by a generalized facial rash on day five & swelling of the face on day six.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20061230&IDNUMBER=26866


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