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From the 12/31/2003 release of VAERS data (an older release, current is 1/15/2021):

This is VAERS ID 46704

Case Details

VAERS ID: 46704 (history)  
Form: Version .0  
Age: 64.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1992-10-02
Onset:1992-10-03
   Days after vaccination:1
Submitted: 1992-10-08
   Days after onset:5
Entered: 1992-11-06
   Days after submission:29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUOGEN 1992-1993 / PARKE-DAVIS 01272P / - - / IM

Administered by: Public       Purchased by: Unknown
Symptoms: HEART ARREST
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/s
Current Illness: n/s
Preexisting Conditions: n/s
Allergies:
Diagnostic Lab Data: n/s
CDC Split Type:

Write-up: death is reported in a pt who recvd 1 dose of flu vax 2OCT; pt died in sleep on 3OCT; coroner stated that there was no evidence of swelling or anaphylaxis & believed that pt died in sleep of natural causes or a coronary;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=46704


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