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From the 5/7/2021 release of VAERS data (an older release, current is 10/8/2021):

This is VAERS ID 27197



Case Details

VAERS ID: 27197 (history)  
Form: Version 1.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:1990-12-06
Onset:1990-12-07
   Days after vaccination:1
Submitted: 1990-12-07
   Days after onset:0
Entered: 1990-12-26
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES OFF11203 / 1 LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site oedema, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: smog, grass, trees, milk, chocolate, Iodine.
Allergies:
Diagnostic Lab Data:
CDC Split Type: CA9019

Write-up: Pt vaccinated with Pneumococcal/Flu experienced pain, then swelling at site.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210507&IDNUMBER=27197

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