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From the 5/14/2021 release of VAERS data (an older release, current is 10/15/2021):

This is VAERS ID 27318



Case Details

VAERS ID: 27318 (history)  
Form: Version 1.0  
Age: 38.0  
Sex: Male  
Location: Illinois  
Vaccinated:1990-11-15
Onset:1990-11-22
   Days after vaccination:7
Submitted: 1990-12-19
   Days after onset:27
Entered: 1991-01-07
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908194 / UNK - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Laboratory test abnormal, Myalgia, Pain, Paraesthesia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGOT rose to 191 but fell to 36. SGPT rose to 433 but fell to 97 by 17DEC. Hepatitis C. Antibody positive.
CDC Split Type:

Write-up: Pt vaccinated with INFLUENZA developed fever, myalgias, fatigue, pain in the rt arm which later migrated to lt arm. Paresthesias developed in rt hand & rt arm weakness. Symptoms have gradually improved has mild pain.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210514&IDNUMBER=27318

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