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From the 8/31/2010 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: 1990-12-17
   Days after submission:38
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11227 / 0 LA / IM
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 291954 / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Dizziness, Injection site reaction, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad)

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: OK905

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


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