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From the 12/31/2003 release of VAERS data (an older release, current is 9/10/2021):

This is VAERS ID 27057



Case Details

VAERS ID: 27057 (history)  
Form: Version .0  
Age: 21.9  
Sex: Male  
Location: Oregon  
Vaccinated:1990-12-01
Onset:1990-12-01
   Days after vaccination:0
Submitted: 1990-12-11
   Days after onset:10
Entered: 1990-12-19
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS OJ11031 / 0 A / IM
TYP: TYPHOID / WYETH 4898237 / 2 A / IM

Administered by: Military       Purchased by: Unknown
Symptoms: CHILLS, DIARRHEA, FEVER, HYPOTENS, LEUKOPENIA
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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Indomethacin (PRN)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1DEC WBC-700, 21 POLYS, 25 SATS, 49L, EEOS. Bili 5.96, SGOT 103 SGPT 132 GGT 84, 2DEC WBC 1500-61P, 34ST, 3L platelets 87,000. Hepatitis panel - all negative except HB''s AB (Had Hepatitis vaccine 2/89- 9/89
CDC Split Type:

Write-up: Pt vaccinated with FLU/TYPHOID developed nausea, vomiting, diarrhea, temp 103, WBC decreased, hypertension, chills, liver function test elevated.


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