National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 12/31/2003 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 40946

Case Details

VAERS ID: 40946 (history)  
Form: Version .0  
Age: 72.8  
Sex: Male  
Location: Maryland  
   Days after vaccination:3
Submitted: 1992-03-11
   Days after onset:138
Entered: 1992-04-03
   Days after submission:23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1991-1992 / WYETH 4918151 / 0 LA / IM

Administered by: Public       Purchased by: Unknown

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: bladder cancer
Preexisting Conditions: bladder cancer
Diagnostic Lab Data: x-ray of arm; no fracture 3FEB92;
CDC Split Type:

Write-up: Pt c/o onset of continuous pain in arm @ site of inject;

New Search

Link To This Search Result:

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