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This is VAERS ID 26895

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

Case Details

VAERS ID: 26895 (history)  
Form: Version .0  
Age: 80.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:1990-10-14
Onset:1990-10-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-12-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908183 / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: NAUSEA, VOMIT
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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Darvon, Tranxene, Zantac, Bentyl, Iron supplements.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=26895


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