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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 46705

Case Details

VAERS ID: 46705 (history)  
Form: Version .0  
Age: 64.0  
Sex: Female  
Location: Pennsylvania  
   Days after vaccination:3
Submitted: 1992-10-08
   Days after onset:3
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1992-10-05
   Days after onset: 0
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: surgery on facial sinus; brain stem infarct
Diagnostic Lab Data: n/s
CDC Split Type:

Write-up: death is reported in a pt who recvd flu vax on 2OCT; pt died on 5OCT92 w/no final cause of death given; an autopsy was performed; coroner believed that pt died of CVA; pt had undergone facial sinus surgery 2 wks prior to death;

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