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

This is VAERS ID 46114

Case Details

VAERS ID:	46114 (history)
Form:	Version .0
Age:	67.8
Sex:	Female
Location:	Louisiana

Vaccinated:	1991-11-01
Onset:	1991-11-16
Days after vaccination:	15
Submitted:	0000-00-00
Entered:	1992-10-16

Vaccination / Manufacturer	Lot / Dose	Site / Route
FLU: FLUZONE 1991-1992 / CONNAUGHT LABS	1F21219 / 0	RA / -

Administered by: Public Purchased by: Unknown
Symptoms: ANEMIA HYPOCHROM, HYPERESTHESIA, HYPERGLYCEM, LAB TEST ABNORM, LEUKOPENIA
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: HGB-11.5; HCT 35.4, RDW 16.1;
CDC Split Type:

Write-up: about 2 wks p/shot woke up 2AM w/severe pain lower back & rt leg to knee 16NOV91; pt went to ER & adm to hosp seen by bone & joint specialist; nerve problem, glucose of 136; meralgia paresthetica; pneumonia, Hgb 11.5, WBC 4,500;

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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=46114