National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 27291



Case Details

VAERS ID: 27291 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Male  
Location: Ohio  
Vaccinated:1990-11-01
Onset:1990-11-01
   Days after vaccination:0
Submitted: 1990-11-17
   Days after onset:16
Entered: 1991-01-04
   Days after submission:48
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11222 / UNK LA / -

Administered by: Public       Purchased by: Private
Symptoms: Asthma, Bronchitis, Nuchal rigidity, Pharyngitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Asthma/bronchospasm (narrow), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Allergies:
Diagnostic Lab Data:
CDC Split Type: OH9056

Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210507&IDNUMBER=27291

Government Disclaimer on use of this data


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166