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This is VAERS ID 26895

(NOTE: This result is from the 8/14/2018 version of the VAERS database)

Case Details

VAERS ID: 26895 (history)  
Form: Version 1.0  
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: 1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908183 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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: ~ ()~~~In patient
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=20180814&IDNUMBER=26895


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