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From the 12/31/2003 release of VAERS data (an older release, current is 11/26/2021):

This is VAERS ID 27080

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Case Details

VAERS ID: 27080 (history)  
Form: Version .0  
Age: 34.1  
Sex: Female  
Location: Oklahoma  
Vaccinated:1990-11-08
Onset:1990-11-08
   Days after vaccination:0
Submitted: 1990-11-09
   Days after onset:1
Entered: 1991-01-09
   Days after submission:61
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11227 / 0 LA / IM
PPV: PNU-IMUNE(R)23 / LEDERLE 291954 / 0 LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: DIZZINESS, FEVER, INJECT SITE REACT
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: T 104, local rxn, dizzie, light headedness


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